Individual provider · Type 1 NPI

Tyler Jordan Smith

Mental Health Counselor · Burnsville, MN

NPI number 1568084119 Active

Practice location

14301 Ewing Ave S
Burnsville, MN 55306-4885

Call (952) 746-5350 Map

Mailing address

4198 W 135th St
Savage, MN 55378-2019

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1568084119

Tyler Jordan Smith's National Provider Identifier is 1568084119, issued on May 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burnsville, MN. The record was last updated on May 16, 2020.