Individual provider · Type 1 NPI

Tyler Nellissen

Mental Health Counselor · Brooklyn, NY

NPI number 1407674385 Active

Practice location

26 Court St Ste 2510
Brooklyn, NY 11242-1125

Call (508) 991-9791 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP130322 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1407674385

Tyler Nellissen's National Provider Identifier is 1407674385, issued on Sep 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 30, 2024.