Individual
TYLER LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1750 N CALHOUN RD, BROOKFIELD, WI 53005-5037
(414) 218-6958
Mailing address
2367 N 46TH ST, MILWAUKEE, WI 53210-2917
(414) 218-6958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3894-125
WI
Other
Enumeration date
05/10/2007
Last updated
09/23/2019
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