Individual
TYRA MCKONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3051 N BETULA AVE, MERIDIAN, ID 83646-7396
(775) 525-4888
Mailing address
3051 N BETULA AVE, MERIDIAN, ID 83646-7396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/20/2022
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