Individual provider · Type 1 NPI

Keenan Tyler, LPC

Professional Counselor · Virginia Beach, VA

NPI number 1609648559 Active

Practice location

956 Iron Bridge Dr
Virginia Beach, VA 23462-4655

Call (757) 660-8459 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0701012951 (VA)
Professional Counselor Primary 101YP2500X0701012951 (VA)

Professional Counselor: Definition to come...

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About NPI 1609648559

Keenan Tyler, LPC's National Provider Identifier is 1609648559, issued on Oct 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Virginia Beach, VA. The record was last updated on Sep 19, 2024.