Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER WAYNE PACK
Active Sole ProprietorTYLER WAYNE PACK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PIKETON, Ohio. NPI 1902457062 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PIKETON, OH
Registration Details
- NPI Number
- 1902457062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2019 (6.8929509032743 yrs)
- Last Updated
- Sep 20, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
15221 STATE ROUTE 124PIKETON, OH, 45661Browse OH providers · Browse ZIP 45661
- Phone
- 7405051420
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PIKETON, OH
| Name | Credential | NPI |
|---|---|---|
| JACK WATERS | LCDC-III, QMHS | 1952820482 |
| JOSEPH BLAKE PERDUE | CDCA PHASE 2 | 1306357215 |
| ANTHONY WAYNE JUSTICE | CDCA-PRE | 1194236919 |
| TRACY SELVAGE | CDCA | 1528579026 |
| JENNIFER MAE LAVENE BREITENBACH | CDCA | 1548772965 |
| LYDIA R JENKINS | CDCA | 1811409899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.