Individual provider · Type 1 NPI
Kevin Anthony Tyler Sr., CADC
Professional Counselor · Chicago, IL
NPI number
1508488164
Active
Practice location
7558 S Yates Blvd
Chicago, IL 60649-3318
Mailing address
222 S Minerva Ave
Glenwood, IL 60425-1918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 35549 (IL) |
Professional Counselor: Definition to come...
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About NPI 1508488164
Kevin Anthony Tyler Sr., CADC's National Provider Identifier is 1508488164, issued on May 17, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on May 17, 2020.