Individual
MR. JONATHAN ERIC TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC SAC-IT
Contact information
Practice address
3424 SUPERIOR AVE, SHEBOYGAN, WI 53081-1862
(920) 287-0406
Mailing address
3424 SUPERIOR AVE, SHEBOYGAN, WI 53081-1862
(920) 287-0406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5542
WI
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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