NPI | 1982925020 |
---|---|
Other Name | COLGAN TYLER, LCSW, COUNSELING SERVICE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER COLGAN TYLER Psychotherapist 502-551-0615 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3316) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2010-06-11 |