Individual provider · Type 1 NPI

Traci Jo Tylar, LPC

Professional Counselor · Peoria, IL

NPI number 1053462952 Active

Practice location

5016 N. University St., Suite 109
Peoria, IL 61614

Call (309) 573-4834 Map

Fax (312) 254-1423

Mailing address

PO Box 9665
Peoria, IL 61612

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X178004736 (IL)
Professional Counselor Primary 101YP2500X178994736 (IL)

Professional Counselor: Definition to come...

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About NPI 1053462952

Traci Jo Tylar, LPC's National Provider Identifier is 1053462952, issued on Jan 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Mar 8, 2012.