Individual
TYLER ZILLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2643
(763) 767-3350
(763) 767-0912
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01307
MN
Other
Enumeration date
07/15/2016
Last updated
02/27/2017
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