COLBY MICHAEL TYSON

ALBUQUERQUE, NM
NPI1770098543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CTB2024668)
Enumeration Date2017-12-02
Last Update Date2025-01-06
Business Address
COLBY MICHAEL TYSON
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113-2337
Phone number: 505-796-6367
Mailing Address
COLBY MICHAEL TYSON
6416 TAUTON RD NW
ALBUQUERQUE, NM 87120-2040
Phone number: 505-918-2901