Individual
TYLOR CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
411 3RD ST N, WAITE PARK, MN 56387-1177
(320) 230-0611
Mailing address
411 3RD ST N, WAITE PARK, MN 56387-1177
(320) 230-0611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4158
MN
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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