person
Tyler Wesley Stull, LCPCCADC
Professional Counselor in Rockford, Illinois
NPI 1407446636

Tyler Wesley Stull is a Professional Counselor based in Rockford, IL and is specialized in Professional. Tyler Wesley Stull practices in Rockford, IL and has the professional credentials of LCPCCADC. The NPI Number for Tyler Wesley Stull is 1407446636 and holds a License No. 29194 (Illinois).

The current practice location address for Tyler Wesley Stull is 1200 W State St, Rockford, IL and can be reached out via phone at 815-490-1600 and via fax at 815-490-1881.

Location: 1200 W State St, Rockford, IL, 61102-2112
person
Provider Profile Details
NPI Number
1407446636
Provider Name
Tyler Wesley Stull
Credential
LCPCCADC
Provider Entity Type
Individual
Gender
Male
Address
1200 W State St, Rockford, IL, 61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1881
Provider Enumeration Date
01/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1881
person
Provider Business Mailing Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
815-490-1881
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180011338 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
29194 (Illinois)
Definition
Definition to come...
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