Kylie Tibbetts

NPI #1225716541 in Sullivan, Illinois

Provider Information

NPI Number: 1225716541
Entity Type: Individual
Name: Kylie Tibbetts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 6, 2023
Last Updated: Aug 22, 2025

Practice Location

Address: 114 N MAIN ST
City: Sullivan
State: Illinois
ZIP Code: 61951-1506
Phone: (601) 207-0774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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