Individual provider · Type 1 NPI

Alicia Marie Tyler

Mental Health Counselor · Medford, OR

NPI number 1831808229 Active

Practice location

503 Airport Rd Ste 101
Medford, OR 97504-4159

Fax (541) 200-2948

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831808229

Alicia Marie Tyler's National Provider Identifier is 1831808229, issued on Nov 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Nov 15, 2022.