Larry Allen Tyler

NPI #1043441140 in Bangor, Maine

Provider Information

NPI Number
1043441140
Entity Type
Individual
Name
Larry Allen Tyler
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 6, 2009
Last Updated
Aug 6, 2009

Practice Location

Address
253-255 HAMMOND ST.
City
Bangor
State
Maine
ZIP Code
04401
Phone
(207) 941-1612

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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