Individual provider · Type 1 NPI
Samantha D. Tyree, MA, LPC
Professional Counselor · Minooka, IL
NPI number
1255780102
Active
Practice location
109 White Ln, Apt 1
Minooka, IL 60447-9307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.012030 (IL) |
Professional Counselor: Definition to come...
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About NPI 1255780102
Samantha D. Tyree, MA, LPC's National Provider Identifier is 1255780102, issued on Jun 10, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minooka, IL. The record was last updated on Jun 10, 2016.