Individual provider · Type 1 NPI

Lauren Kimball Tyler, LPCC

Professional Counselor · Edgewood, NM

NPI number 1104129766 Active

Practice location

7 Glitter Gulch Way
Edgewood, NM 87015-8738

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCCMH0156401 (NM)

Professional Counselor: Definition to come...

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About NPI 1104129766

Lauren Kimball Tyler, LPCC's National Provider Identifier is 1104129766, issued on Dec 20, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edgewood, NM. The record was last updated on May 25, 2025.