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Tyler Eugene Goulet
Professional Counselor in El Sobrante, California
NPI 1508587817

Tyler Eugene Goulet is a Professional Counselor based in El Sobrante, CA and is specialized in Professional. Tyler Eugene Goulet practices in El Sobrante, CA. The NPI Number for Tyler Eugene Goulet is 1508587817 and holds a License No. (California).

The current practice location address for Tyler Eugene Goulet is 4892 San Pablo Dam Rd, El Sobrante, CA and can be reached out via phone at 510-222-3946.

Location: 4892 San Pablo Dam Rd, El Sobrante, CA, 94803-3222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508587817
Provider Name
Tyler Eugene Goulet
Credential
Provider Entity Type
Individual
Gender
Male
Address
4892 San Pablo Dam Rd, El Sobrante, CA, 94803-3222
Phone Number
510-222-3946
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4892 San Pablo Dam Rd
City
El Sobrante
State
California
Zip
94803-3222
Phone Number
510-222-3946
Fax Number
person
Provider Business Mailing Address Details
Address
4892 San Pablo Dam Rd
City
El Sobrante
State
California
Zip
94803-3222
Phone Number
510-222-3946
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
13521 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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