Individual provider · Type 1 NPI

Tyrone Childress, MS/MHC, LLPC

Mental Health Counselor · Pontiac, MI

NPI number 1821360926 Active

Practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Call (248) 858-7766 Map

Mailing address

4173 11th St
Ecorse, MI 48229-1220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401012248 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1821360926

Tyrone Childress, MS/MHC, LLPC's National Provider Identifier is 1821360926, issued on Feb 3, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, MI. The record was last updated on Feb 3, 2012.