Individual
DAVID PHILLIP TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 E 2ND AVE, SPOKANE, WA 99202-1406
(509) 462-2500
Mailing address
504 E 2ND AVE, SPOKANE, WA 99202-1406
(509) 462-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61092865
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2020
Last updated
08/05/2021
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