Individual provider · Type 1 NPI

Tyler Sjostrom

Mental Health Counselor · Wheaton, IL

NPI number 1144626557 Active

Practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1144626557

Tyler Sjostrom's National Provider Identifier is 1144626557, issued on Nov 12, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wheaton, IL. The record was last updated on Nov 12, 2014.