person
Larry Allen Tyler
Addiction (Substance Use Disorder) Counselor in Bangor, Maine
NPI 1043441140

Larry Allen Tyler is an Addiction (Substance Use Disorder) Counselor based in Bangor, ME and is specialized in Addiction (Substance Use Disorder). Larry Allen Tyler practices in Bangor, ME. The NPI Number for Larry Allen Tyler is 1043441140 and holds a License No. LC169 (Maine).

The current practice location address for Larry Allen Tyler is 253-255 Hammond St., Bangor, ME and can be reached out via phone at 207-941-1612 and via fax at 207-941-1634.

Location: 253-255 Hammond St., Bangor, ME, 04401-5234
person
Provider Profile Details
NPI Number
1043441140
Provider Name
Larry Allen Tyler
Credential
Provider Entity Type
Individual
Gender
Male
Address
253-255 Hammond St., Bangor, ME, 04401-5234
Phone Number
207-941-1612
Fax Number
207-941-1634
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
432373599 05 ME
institution
Provider Business Practice Location Address Details
Address
253-255 Hammond St.
City
State
Zip
04401
Phone Number
207-941-1612
Fax Number
207-941-1634
person
Provider Business Mailing Address Details
Address
253-255 Hammond St.
City
State
Zip
04401
Phone Number
207-941-1612
Fax Number
207-941-1634
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC169 (Maine)
Definition
Definition to come...
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