Individual
TYLER JAMES MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1312 HIGHWAY 49 N, BEULAH, ND 58523-6038
(701) 873-7788
(701) 873-4485
Mailing address
212 9TH ST NE, BEULAH, ND 58523-6320
(701) 301-3493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1850
ND
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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