Individual provider · Type 1 NPI

Deangelo Vancetrice Tyler

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1073453965 Active

Practice location

205 N Michigan Ave Ste 810
Chicago, IL 60601-5902

Fax (855) 515-7155

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073453965

Deangelo Vancetrice Tyler's National Provider Identifier is 1073453965, issued on Mar 30, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Mar 30, 2026.