Individual
TYLER DOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
16250 NORTHLAND DR STE 239, SOUTHFIELD, MI 48075-5206
(313) 246-4417
Mailing address
27675 SUTHERLAND ST, SOUTHFIELD, MI 48076-3565
(313) 467-9950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023817
MI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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