Individual provider · Type 1 NPI

Tyler Lennon, CADC, B.S.

Addiction (Substance Use Disorder) Counselor · Fort Dodge, IA

NPI number 1750753539 Active

Practice location

726 S 17th St
Fort Dodge, IA 50501-5344

Fax (515) 955-7628

Mailing address

1630 11th St
Manson, IA 50563-5026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15084 (IA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750753539

Tyler Lennon, CADC, B.S.'s National Provider Identifier is 1750753539, issued on Oct 20, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Dodge, IA. The record was last updated on Oct 20, 2015.