Individual provider · Type 1 NPI

Khalilah Imani Tyre

Mental Health Counselor · Malden, MA

NPI number 1447769534 Active

Practice location

22 Pleasant St Ste 2000
Malden, MA 02148-5119

Mailing address

211 Broadway
Arlington, MA 02474-5410

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447769534

Khalilah Imani Tyre's National Provider Identifier is 1447769534, issued on Sep 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malden, MA. The record was last updated on Sep 21, 2017.