Individual
MR. TYLER EUGENE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
44 S BROAD ST, HILLSDALE, MI 49242-1847
(517) 825-9807
Mailing address
95 RIPPON AVE, HILLSDALE, MI 49242-1505
(517) 825-9807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016931
MI
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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