Individual provider · Type 1 NPI

Tyler C. Kennedy

Mental Health Counselor · Tigard, OR

NPI number 1770092686 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3690 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1770092686

Tyler C. Kennedy's National Provider Identifier is 1770092686, issued on Sep 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Sep 22, 2017.