Lauren Kimball Tyler LMHC

NPI 1104129766 - Counselor - 101YM0800X

NPI Details
NPI 1104129766
Gender Female
Enumeration Date 12/20/2010
Last Updated 12/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
851 ANDREA DR
SUITE 4, BLDG. E
FARMINGTON NM, 87401-6726, US
Phone (505) 324-5855
Fax
Business Location
851 ANDREA DR
SUITE 4, BLDG. E
FARMINGTON NM, 87401-6726, US
Phone (505) 324-5855
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State New Mexico
License Number 0135511
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According to our database, Ms. Lauren Kimball Tyler LMHC NPI is 1104129766, taxonomy code is 101YM0800X and license number is 0135511, license state is located at New Mexico. Lauren Kimball Tyler LMHC physically located at 851 Andrea Dr, Farmington NM, 87401-6726. NPI Number Lauren Kimball Tyler LMHC has the Individual type.

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1104129766 NPI number is provided on an as is basis without warranty of any kind. 1104129766 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Kimball Tyler LMHC are for informational purposes only.