Individual provider · Type 1 NPI
Tyler Jules Kennedy, MA, LAC
Mental Health Counselor · Florham Park, NJ
NPI number
1003582990
Active
Practice location
32 Midwood Dr
Florham Park, NJ 07932-1811
Mailing address
114 Ploch Rd
Clifton, NJ 07013-1471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1003582990
Tyler Jules Kennedy, MA, LAC's National Provider Identifier is 1003582990, issued on Aug 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Florham Park, NJ. The record was last updated on Aug 19, 2021.