| NPI | 1427536481 |
|---|---|
| Professional Name | TYLER DOUGLAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61119971) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-06-27 |