Individual
MR. TYLER S. TEDMON-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCAT, BC-DMT
Contact information
Practice address
507 S 4TH ST STE B-2, LARAMIE, WY 82070-3753
(917) 671-8274
(307) 460-9084
Mailing address
PO BOX 594, LARAMIE, WY 82073-8672
(412) 760-2447
(718) 388-2761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1664
WY
101YM0800X
Mental Health Counselor
LPC.0012361
CO
225600000X
Dance Therapist
001383-1
NY
Other
Enumeration date
09/29/2010
Last updated
03/13/2019
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