Individual provider · Type 1 NPI

Delores Usher Tyburczyk, TLLP

Mental Health Counselor · Southgate, MI

NPI number 1477828317 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7700 Map

Mailing address

17189 Five Points St
Redford, MI 48240-2119

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6301015046 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1477828317

Delores Usher Tyburczyk, TLLP's National Provider Identifier is 1477828317, issued on Mar 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southgate, MI. The record was last updated on Mar 10, 2012.