Tye Walcott, LPC

NPI #1003109984 in Savannah, Georgia

Provider Information

NPI Number: 1003109984
Entity Type: Individual
Name: Tye Walcott, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: May 25, 2011
Last Updated: Oct 9, 2012

Practice Location

Address: 125 FAHM ST
City: Savannah
State: Georgia
ZIP Code: 31401-2391
Phone: (912) 344-9403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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