Individual provider · Type 1 NPI

Colby Michael Tyson

Mental Health Counselor · Albuquerque, NM

NPI number 1770098543 Active

Practice location

5201 Venice Ave NE Ste A
Albuquerque, NM 87113-2337

Mailing address

6416 Tauton Rd NW
Albuquerque, NM 87120-2040

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCTB2024668 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1770098543

Colby Michael Tyson's National Provider Identifier is 1770098543, issued on Dec 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 6, 2025.