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Tyrique Anderson
Mental Health Counselor in Loudonville, Ohio
NPI 1073383527

Tyrique Anderson is a Mental Health Counselor based in Perrysville, OH and is specialized in Mental Health. Tyrique Anderson practices in Loudonville, OH. The NPI Number for Tyrique Anderson is 1073383527 and holds a License No. C.2305220-TRNE (Ohio).

The current practice location address for Tyrique Anderson is 133 N Water St, Loudonville, OH and can be reached out via phone at 567-560-3151.

Location: 133 N Water St, Loudonville, OH, 44864-9694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073383527
Provider Name
Tyrique Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
133 N Water St, Loudonville, OH, 44864-9694
Phone Number
567-560-3151
Fax Number
Provider Enumeration Date
01/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
133 N Water St
City
Loudonville
State
Ohio
Zip
44842-1250
Phone Number
567-560-3151
Fax Number
person
Provider Business Mailing Address Details
Address
133 N Water St
City
Loudonville
State
Ohio
Zip
44842-1250
Phone Number
567-560-3151
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.2305220-TRNE (Ohio)
Definition
Definition to come...
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