MS. Traci Jo Tylar, LPC

NPI #1053462952 in Peoria, Illinois

Provider Information

NPI Number
1053462952
Entity Type
Individual
Name
MS. Traci Jo Tylar, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jan 16, 2007
Last Updated
Mar 8, 2012

Practice Location

Address
5016 N. UNIVERSITY ST.
Address 2
SUITE 109
City
Peoria
ZIP Code
61614
Phone
(309) 573-4834

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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