Individual
DR. HOWARD WILLIAM TYAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN., PHD
Contact information
Practice address
1204 THE PLZ, SUITE 4, CHARLOTTE, NC 28205-5053
(704) 377-0688
Mailing address
2641 PALM AVE, CHARLOTTE, NC 28205-2239
(704) 569-1678
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
62
NC
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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