Individual provider · Type 1 NPI

Tyler Robertson

Professional Counselor · Green Bay, WI

NPI number 1194181891 Active

Practice location

1039 W Mason St
Green Bay, WI 54303-1842

Call (920) 965-7707 Map

Mailing address

3031 Bay View Dr
Green Bay, WI 54311-5907

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5914 (WI)

Professional Counselor: Definition to come...

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About NPI 1194181891

Tyler Robertson's National Provider Identifier is 1194181891, issued on Jan 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Jan 11, 2016.