Individual provider · Type 1 NPI

Tyler Lewis Roberts

Mental Health Counselor · San Diego, CA

NPI number 1982185070 Active

Practice location

4303 3rd Ave
San Diego, CA 92103

Call (619) 876-4502 Map

Mailing address

6312 Caminito Del Cervato
San Diego, CA 92111-6852

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1982185070

Tyler Lewis Roberts's National Provider Identifier is 1982185070, issued on Aug 27, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Aug 27, 2018.