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Tyler Whittaker
Counselor in Moroni, Utah
NPI 1396110615

Tyler Whittaker is a Counselor based in Moroni, UT. Tyler Whittaker practices in Moroni, UT. The NPI Number for Tyler Whittaker is 1396110615 and holds a License No. (Utah).

The current practice location address for Tyler Whittaker is 2860 E 19500 N, Moroni, UT and can be reached out via phone at 435-436-9029 and via fax at 435-436-9027.

Location: 2860 E 19500 N, Moroni, UT, 84646-0461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396110615
Provider Name
Tyler Whittaker
Credential
Provider Entity Type
Individual
Gender
Male
Address
2860 E 19500 N, Moroni, UT, 84646-0461
Phone Number
435-436-9029
Fax Number
435-436-9027
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235458555 05 UT
institution
Provider Business Practice Location Address Details
Address
2860 E 19500 N
City
Moroni
State
Utah
Zip
84646
Phone Number
435-436-9029
Fax Number
435-436-9027
person
Provider Business Mailing Address Details
Address
2860 E 19500 N
City
Moroni
State
Utah
Zip
84646
Phone Number
435-436-9029
Fax Number
435-436-9027
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Utah)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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