Tyler Wayne Pack

NPI #1902457062 in Piketon, Ohio

Provider Information

NPI Number
1902457062
Entity Type
Individual
Name
Tyler Wayne Pack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Sep 20, 2019
Last Updated
Sep 20, 2019

Practice Location

Address
15221 STATE ROUTE 124
State
Ohio
ZIP Code
45661
Phone
(740) 505-1420

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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