Individual
MS. BONITA TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
6700 BETA DR STE 108, MAYFIELD VILLAGE, OH 44143-2335
(440) 460-0140
(440) 460-5413
Mailing address
20100 UPPER VALLEY DR, EUCLID, OH 44117-2352
(216) 408-4340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.240587-TRNE
OH
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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