Individual
MR. JOSHUA TYNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LLP
Contact information
Practice address
426 S MAIN ST, NORTHVILLE, MI 48167-1647
(313) 655-4514
Mailing address
426 S MAIN ST, NORTHVILLE, MI 48167-1647
(313) 655-4514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6301012276
MI
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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