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Stephanie Tyler
Counselor in Gloucester, Massachusetts
NPI 1649674615

Stephanie Tyler is a Counselor based in Gloucester, MA. Stephanie Tyler practices in Gloucester, MA. The NPI Number for Stephanie Tyler is 1649674615 and holds a License No. (Massachusetts).

The current practice location address for Stephanie Tyler is 33 Commercial St, Gloucester, MA and can be reached out via phone at 978-559-4312.

Location: 33 Commercial St, Gloucester, MA, 01930-4512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649674615
Provider Name
Stephanie Tyler
Credential
Provider Entity Type
Individual
Gender
Female
Address
33 Commercial St, Gloucester, MA, 01930-4512
Phone Number
978-559-4312
Fax Number
Provider Enumeration Date
10/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W2054 03477 01 CT AETNA
institution
Provider Business Practice Location Address Details
Address
33 Commercial St
City
Gloucester
State
Massachusetts
Zip
01930-5040
Phone Number
978-559-4312
Fax Number
person
Provider Business Mailing Address Details
Address
33 Commercial St
City
Gloucester
State
Massachusetts
Zip
01930-5040
Phone Number
978-559-4312
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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