Individual provider · Type 1 NPI

Tyler Andrew Matlock

Mental Health Counselor · Fairbanks, AK

NPI number 1033465307 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033465307

Tyler Andrew Matlock's National Provider Identifier is 1033465307, issued on Jul 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 24, 2012.