Individual provider · Type 1 NPI
Tyreese Mayo
Professional Counselor · Upper Darby, PA
NPI number
1235878091
Active
Practice location
7191 Ruskin Ln
Upper Darby, PA 19082-5022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC014490 (PA) |
Professional Counselor: Definition to come...
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About NPI 1235878091
Tyreese Mayo's National Provider Identifier is 1235878091, issued on May 31, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Upper Darby, PA. The record was last updated on Jun 9, 2022.