Individual
MR. TYLER MICHAEL KEES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAC
Contact information
Practice address
1730 E MCNAIR DR, TEMPE, AZ 85283-5000
(480) 999-2590
Mailing address
1485 S COLE DR, GILBERT, AZ 85296-8233
(480) 282-3872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19156
AZ
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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