Individual
TYRONE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3872 N 8TH ST, MILWAUKEE, WI 53206-3303
(414) 252-0210
Mailing address
6737 W WASHINGTON ST STE 2275, WEST ALLIS, WI 53214-5666
(414) 246-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8176-226
WI
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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