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Tyson Spears SR., MS,LPC
Professional Counselor in Cudahy, Wisconsin
NPI 1891379558

Tyson Spears SR. is a Professional Counselor based in Cudahy, WI and is specialized in Professional. Tyson Spears SR. practices in Cudahy, WI and has the professional credentials of MS,LPC. The NPI Number for Tyson Spears SR. is 1891379558 and holds a License No. 7604-125 (Wisconsin).

The current practice location address for Tyson Spears SR. is 6118 S Merrill Ave, Cudahy, WI and can be reached out via phone at 414-578-6625.

Location: 6118 S Merrill Ave, Cudahy, WI, 53110-2929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891379558
Provider Name
Tyson Spears SR.
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
6118 S Merrill Ave, Cudahy, WI, 53110-2929
Phone Number
414-578-6625
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6118 S Merrill Ave
City
Cudahy
State
Wisconsin
Zip
53110-2929
Phone Number
414-578-6625
Fax Number
person
Provider Business Mailing Address Details
Address
6118 S Merrill Ave
City
Cudahy
State
Wisconsin
Zip
53110-2929
Phone Number
414-578-6625
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
7604-125 (Wisconsin)
Definition
Definition to come...
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