Individual provider · Type 1 NPI
Tyler Charles Smith, LPC, CSAC
Mental Health Counselor · Waterford, WI
NPI number
1316795503
Active
Practice location
7957 W Wind Lake Rd Ste E
Waterford, WI 53185-2234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17132132 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 10088125 (WI) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Waterford
About NPI 1316795503
Tyler Charles Smith, LPC, CSAC's National Provider Identifier is 1316795503, issued on May 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterford, WI. The record was last updated on May 11, 2024.