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Individual

MICHAEL TYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMFT

Contact information

Practice address
1601 R AVE, ANACORTES, WA 98221-2276
(360) 299-4017
(360) 299-4005
Mailing address
1601 R AVE, ANACORTES, WA 98221-2276
(360) 299-4017
(360) 299-4005

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 867
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LF 867
MARRIAGE AND FAMILY THERAPIST LICENSE
WA
Enumeration date
10/23/2013
Last updated
10/23/2013
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