Individual provider · Type 1 NPI
Joel Tyler Whiteside, LPC
Professional Counselor · Avondale, AZ
NPI number
1548039100
Active
Practice location
10756 W Buchanan St
Avondale, AZ 85323-5441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-22756 (AZ) |
| Mental Health Counselor | 101YM0800X | 22756 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1548039100
Joel Tyler Whiteside, LPC's National Provider Identifier is 1548039100, issued on Dec 25, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Avondale, AZ. The record was last updated on Feb 21, 2024.