Individual provider · Type 1 NPI

Jennifer Tyler, M.S., CDC-1, ICCTP

Mental Health Counselor · Kenai, AK

NPI number 1366819930 Active

Practice location

10735 Kenai Spur Hwy # 2B
Kenai, AK 99611-7859

Call (907) 283-9947 Map

Fax (907) 283-9949

Mailing address

1700 Lawton Dr # A
Kenai, AK 99611-8913

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1025263 (AK)
Specialist 174400000X1023805 (AK)

Mental Health Counselor: Definition to come...

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About NPI 1366819930

Jennifer Tyler, M.S., CDC-1, ICCTP's National Provider Identifier is 1366819930, issued on Aug 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kenai, AK. The record was last updated on Aug 30, 2015.