Tyrone Charles, LPC
Individual provider Active NPI Professional Counselor · Anchorage, AK
NPI 1740201391 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740201391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 96 (AK)
- Practice address
- 4325 Laurel St
Suite 245
Anchorage, AK 99508-5338 - Phone
- (907) 562-4606
- Fax
- (907) 562-4608
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 96 | AK | Yes |
Addresses
Primary practice location
4325 Laurel St
Suite 245
Anchorage, AK 99508-5338
Mailing address
4325 Laurel St
Suite 245
Anchorage, AK 99508-5338
Phone (907) 562-4606
Other providers in Anchorage, AK
- Gail Charles
- Kent Charles
- Mary Charles
- Megan R Charles
- Money Aziya Charles
- Melanie Charley
- Blake Randolph Charlton
- April H Charpentier
- Kayleigh Chase
- Michele Ann Chase
All providers in Anchorage, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.