Individual provider · Type 1 NPI
Kyle Tanner, LCPC
Professional Counselor · Chicago, IL
NPI number
1679156046
Active
Practice location
1053 W Grace St Apt 2E
Chicago, IL 60613-5082
Mailing address
7227 Madison St
Forest Park, IL 60130-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180013001 (IL) |
Professional Counselor: Definition to come...
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About NPI 1679156046
Kyle Tanner, LCPC's National Provider Identifier is 1679156046, issued on May 3, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on May 3, 2021.