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Corey Michael Dyson

Counselor, Professional in Killeen, TX. Individual provider (NPI-1).

NPI number1982115580
StatusActive
Last updated in NPPESOct 7, 2020

Details

NPI
1982115580
Entity type
Individual (NPI-1)
Name
Corey Michael Dyson
Sex
Male
Sole proprietor
No
Enumeration date
Oct 23, 2017
Certification date
Oct 7, 2020
Last updated
Oct 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional80209TXYes
106S00000X Behavior Technician––

Practice location

1020 Trimmier Rd
Killeen, TX 76541-8029

Phone 254-760-0494

Mailing address

1020 Trimmier Rd
Killeen, TX 76541-8029

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