Tyson Spears SR., MS, LPC

NPI #1891379558 in Cudahy, Wisconsin

Provider Information

NPI Number
1891379558
Entity Type
Individual
Name
Tyson Spears SR., MS, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MS, LPC
Enumeration Date
May 10, 2021
Last Updated
May 10, 2021

Practice Location

Address
6118 S MERRILL AVE
City
Cudahy
ZIP Code
53110-2929
Phone
(414) 578-6625

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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