Individual provider · Type 1 NPI
Tyler Boris, LLMSW
Mental Health Counselor · Grand Rapids, MI
NPI number
1124266267
Active
Practice location
55 Ottawa Ave SW Apt 612
Grand Rapids, MI 49503-4044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6801106011 (MI) |
Mental Health Counselor: Definition to come...
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About NPI 1124266267
Tyler Boris, LLMSW's National Provider Identifier is 1124266267, issued on Jan 28, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 27, 2023.