Individual provider · Type 1 NPI

Jaclynn Marie Tye

Addiction (Substance Use Disorder) Counselor · Reno, NV

NPI number 1083075766 Active

Practice location

900 W 1st St Ste 200
Reno, NV 89503-5587

Call (775) 322-8941 Map

Mailing address

4500 Mira Loma Dr Apt 198
Reno, NV 89502-5440

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X01963-I (NV)

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

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About NPI 1083075766

Jaclynn Marie Tye's National Provider Identifier is 1083075766, issued on Mar 9, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reno, NV. The record was last updated on Mar 9, 2016.