| Tyrique Anderson, | |
|
133 N Water St, Loudonville, OH 44842-1250 | |
| (567) 560-3151 | |
| Not Available |
| Full Name | Tyrique Anderson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 133 N Water St, Loudonville, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073383527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C.2506918 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrique Anderson, 4654 Pleasant Hill Rd, Perrysville, OH 44864-9694 Ph: () - | Tyrique Anderson, 133 N Water St, Loudonville, OH 44842-1250 Ph: (567) 560-3151 |
Megan Southward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 N Water St, Loudonville, OH 44842 Phone: 567-560-3151 | |
Leiah Abshear, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Water St, Loudonville, OH 44842 Phone: 419-774-9969 | |
Karen Gilman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Water St, Loudonville, OH 44842 Phone: 419-994-3316 |