Individual provider · Type 1 NPI

Tyson Spears Sr., MS, LPC

Professional Counselor · Cudahy, WI

NPI number 1891379558 Active

Practice location

6118 S Merrill Ave
Cudahy, WI 53110-2929

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7604-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1891379558

Tyson Spears Sr., MS, LPC's National Provider Identifier is 1891379558, issued on May 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cudahy, WI. The record was last updated on May 10, 2021.