Individual provider · Type 1 NPI

Tyler Shanley

Mental Health Counselor · Bend, OR

NPI number 1063245165 Active

Practice location

1128 NW Harriman St
Bend, OR 97703-1947

Fax (541) 322-7565

Mailing address

2577 NE Courtney Drive
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063245165

Tyler Shanley's National Provider Identifier is 1063245165, issued on Aug 23, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Aug 23, 2024.