Individual
SARA ELIZABETH TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
932 ROBINSON ST, WEST LAFAYETTE, IN 47906-2766
(765) 790-3186
Mailing address
932 ROBINSON ST, WEST LAFAYETTE, IN 47906-2766
(765) 790-3186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35002005A
IN
106H00000X
Marriage & Family Therapist
1678
NC
Other
Enumeration date
02/21/2012
Last updated
08/23/2022
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