Individual provider · Type 1 NPI

Tyler Whittaker

Counselor · Moroni, UT

NPI number 1396110615 Active

Practice location

2860 E 19500 N
Moroni, UT 84646

Fax (435) 436-9027

Mailing address

PO Box 461
Moroni, UT 84646-0461

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1396110615

Tyler Whittaker's National Provider Identifier is 1396110615, issued on Dec 11, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moroni, UT. The record was last updated on Dec 11, 2015.