Individual
MR. TYLER VAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3711
(906) 632-9809
Mailing address
2655 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3711
(906) 632-9809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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