Individual provider · Type 1 NPI

Kylie Anne Tangen

Mental Health Counselor · Jacksonville, NC

NPI number 1972186047 Active

Practice location

3886 Henderson Dr
Jacksonville, NC 28546-5219

Fax (910) 938-9835

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA15224 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1972186047

Kylie Anne Tangen's National Provider Identifier is 1972186047, issued on May 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, NC. The record was last updated on May 5, 2021.