Individual provider · Type 1 NPI

Tyler Walt

Mental Health Counselor · Dekalb, IL

NPI number 1912551052 Active

Practice location

631 S 1st St
Dekalb, IL 60115-4117

Call (815) 756-8501 Map

Mailing address

PO Box 1109
Dekalb, IL 60115-7109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912551052

Tyler Walt's National Provider Identifier is 1912551052, issued on Jul 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dekalb, IL. The record was last updated on Jul 26, 2019.