Individual
TYLER JENNINGS JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 W 15TH ST, HOLLAND, MI 49423-3370
(616) 594-7135
Mailing address
96 W 15TH ST, HOLLAND, MI 49423-3370
(616) 594-7135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851118228
MI
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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