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Tyra Marie Smith
Mental Health Counselor in Corona, California
NPI 1902127681

Tyra Marie Smith is a Mental Health Counselor based in Corona, CA and is specialized in Mental Health. Tyra Marie Smith practices in Corona, CA. The NPI Number for Tyra Marie Smith is 1902127681 and holds a License No. (California).

The current practice location address for Tyra Marie Smith is 817 Laguna Dr, Corona, CA and can be reached out via phone at 949-292-2923.

Location: 817 Laguna Dr, Corona, CA, 92879-1027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902127681
Provider Name
Tyra Marie Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
817 Laguna Dr, Corona, CA, 92879-1027
Phone Number
949-292-2923
Fax Number
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
817 Laguna Dr
City
Corona
State
California
Zip
92879-1027
Phone Number
949-292-2923
Fax Number
person
Provider Business Mailing Address Details
Address
817 Laguna Dr
City
Corona
State
California
Zip
92879-1027
Phone Number
949-292-2923
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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