Tyler Charles Smith, LPC, CSAC

NPI #1316795503 in Waterford, Wisconsin

Provider Information

NPI Number: 1316795503
Entity Type: Individual
Name: Tyler Charles Smith, LPC, CSAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC, CSAC
Enumeration Date: May 11, 2024
Last Updated: May 11, 2024

Practice Location

Address: 7957 W WIND LAKE RD STE E
City: Waterford
State: Wisconsin
ZIP Code: 53185-2234
Phone: (608) 561-8656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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