Individual provider · Type 1 NPI

Tyler Paul Verhagen, SAC-IT

Addiction (Substance Use Disorder) Counselor · Oshkosh, WI

NPI number 1194686105 Active

Practice location

3240 Jackson St
Oshkosh, WI 54901-1208

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20901-130 (WI)

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

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About NPI 1194686105

Tyler Paul Verhagen, SAC-IT's National Provider Identifier is 1194686105, issued on Nov 19, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oshkosh, WI. The record was last updated on Nov 19, 2025.