Individual
MR. TYLER JOHN MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
207 N SPRING ST, BEAVER DAM, WI 53916-2115
(920) 382-0445
Mailing address
281 S FAIRFIELD AVE, JUNEAU, WI 53039-1050
(920) 382-0027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7976-226
WI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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