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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.
5 other providers at this address
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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.