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Jahn Quattlebaum
Mental Health Counselor in Tyler, Texas
NPI 1821577628

Jahn Quattlebaum is a Mental Health Counselor based in Tyler, TX and is specialized in Mental Health. Jahn Quattlebaum practices in Tyler, TX. The NPI Number for Jahn Quattlebaum is 1821577628 and holds a License No. 12272 (Texas).

The current practice location address for Jahn Quattlebaum is 6200 Wilshire Dr, Tyler, TX and can be reached out via phone at 903-216-6641.

Location: 6200 Wilshire Dr, Tyler, TX, 75703-4159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821577628
Provider Name
Jahn Quattlebaum
Credential
Provider Entity Type
Individual
Gender
Male
Address
6200 Wilshire Dr, Tyler, TX, 75703-4159
Phone Number
903-216-6641
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6200 Wilshire Dr
City
Tyler
State
Texas
Zip
75703-4159
Phone Number
903-216-6641
Fax Number
person
Provider Business Mailing Address Details
Address
6200 Wilshire Dr
City
Tyler
State
Texas
Zip
75703-4159
Phone Number
903-216-6641
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPC.0014807 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12272 (Texas)
Definition
Definition to come...
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