MR. Tyson Benjamin Ratzlaff, LPC
NPI #1376875377 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1376875377
- Entity Type
- Individual
- Name
- MR. Tyson Benjamin Ratzlaff, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Feb 2, 2010
- Last Updated
- Feb 2, 2010
Practice Location
- Address
- 705 W MAIN ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-1734
- Phone
- (580) 371-3799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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