NPI 1740748763

Tyler James McKay, LAC

Practitioner Addiction (Substance Use Disorder) Counselor Beulah, ND

Practice location

Address: 1312 Highway 49 N, Beulah, ND 58523-6038
Phone: (701) 873-7788
Fax: (701) 873-4485
Mailing address: 212 9th St NE, Beulah, ND 58523-6320

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1850 (ND)

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Registry record

NPI: 1740748763
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Mar 2019
Record last updated: 8 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.