Individual provider · Type 1 NPI

Tyanne C. Perry

Mental Health Counselor · Olney, IL

NPI number 1891922720 Active

Practice location

PO Box M, 504 Micah Drive
Olney, IL 62450-0913

Call (618) 395-4306 Map

Fax (618) 395-4507

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891922720

Tyanne C. Perry's National Provider Identifier is 1891922720, issued on Jun 18, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olney, IL. The record was last updated on Jun 18, 2009.