Tyshaun Bland, B.S; M.A

NPI #1902207624 in Harper Woods, Michigan

Provider Information

NPI Number: 1902207624
Entity Type: Individual
Name: Tyshaun Bland, B.S; M.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: B.S; M.A
Enumeration Date: Sep 12, 2014
Last Updated: Nov 18, 2016

Practice Location

Address: 19927 COUNTRY CLUB
City: Harper Woods
State: Michigan
ZIP Code: 48225-1154
Phone: (313) 627-8719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Behavior Analyst	103K00000X
Technician, Other	247200000X	Primary

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