Individual
DAWN MARIE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCPC, CCBT
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(309) 820-3500
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(309) 820-3500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
02/06/2018
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