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Kelvin Craig Tyler JR.
Mental Health Counselor in Moncks Corner, South Carolina
NPI 1982210415

Kelvin Craig Tyler JR. is a Mental Health Counselor based in Moncks Corner, SC and is specialized in Mental Health. Kelvin Craig Tyler JR. practices in Moncks Corner, SC. The NPI Number for Kelvin Craig Tyler JR. is 1982210415 and holds a License No. (South Carolina).

The current practice location address for Kelvin Craig Tyler JR. is 403 Stony Landing Rd, Moncks Corner, SC and can be reached out via phone at 843-761-8282 and via fax at 843-761-7308.

Location: 403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982210415
Provider Name
Kelvin Craig Tyler JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435201 05 SC
institution
Provider Business Practice Location Address Details
Address
403 Stony Landing Rd
City
Moncks Corner
State
South Carolina
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider Business Mailing Address Details
Address
403 Stony Landing Rd
City
Moncks Corner
State
South Carolina
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
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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