Individual
MR. TYLER DAVID STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO61228784
Contact information
Practice address
201 E LINCOLN AVE STE 100, YAKIMA, WA 98901-2348
(509) 457-5653
Mailing address
PO BOX 1207, YAKIMA, WA 98907-1207
(509) 457-5653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61228784
WA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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