Individual provider · Type 1 NPI

Tracy L. Tyberg

Mental Health Counselor · Oklahoma City, OK

NPI number 1497026520 Active

Practice location

1330 N Classen Blvd, Ste 214
Oklahoma City, OK 73106-6835

Mailing address

218 W Kittyhawk Dr
Midwest City, OK 73110-5528

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497026520

Tracy L. Tyberg's National Provider Identifier is 1497026520, issued on Jan 20, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 20, 2012.