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Jennifer Tyler, MS,CDC-1,ICCTP
Specialist in Kenai, Alaska
NPI 1366819930

Jennifer Tyler is a Specialist based in Kenai, AK. Jennifer Tyler practices in Kenai, AK and has the professional credentials of MS,CDC-1,ICCTP. The NPI Number for Jennifer Tyler is 1366819930 and holds a License No. 1025263 (Alaska).

The current practice location address for Jennifer Tyler is 10735 Kenai Spur Hwy # 2B, Kenai, AK and can be reached out via phone at 907-283-9947 and via fax at 907-283-9949. You can also correspond with Jennifer Tyler through the mailing address at 1700 LAWTON DR # A, KENAI, AK - 99611-8913 (mailing address contact number: 907-283-9947).

Location: 10735 Kenai Spur Hwy # 2B, Kenai, AK, 99611-8913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366819930
Provider Name
Jennifer Tyler
Credential
MS,CDC-1,ICCTP
Provider Entity Type
Individual
Gender
Female
Address
10735 Kenai Spur Hwy # 2B, Kenai, AK, 99611-8913
Phone Number
907-283-9947
Fax Number
907-283-9949
Provider Enumeration Date
08/30/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1025263 01 AK STATE OF AK
1023805 01 AK STATE OF AK
institution
Provider Business Practice Location Address Details
Address
10735 Kenai Spur Hwy # 2B
City
Kenai
State
Alaska
Zip
99611-7859
Phone Number
907-283-9947
Fax Number
907-283-9949
person
Provider Business Mailing Address Details
Address
1700 Lawton Dr # A
City
Kenai
State
Alaska
Zip
99611-8913
Phone Number
907-283-9947
Fax Number
907-283-9949
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1023805 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
1025263 (Alaska)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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