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Tyler Wayne Pack
Addiction (Substance Use Disorder) Counselor in Piketon, Ohio
NPI 1902457062

Tyler Wayne Pack is an Addiction (Substance Use Disorder) Counselor based in Chillicothe, OH and is specialized in Addiction (Substance Use Disorder). Tyler Wayne Pack practices in Piketon, OH. The NPI Number for Tyler Wayne Pack is 1902457062 and holds a License No. (Ohio).

The current practice location address for Tyler Wayne Pack is 15221 State Route 124, Piketon, OH and can be reached out via phone at 740-505-1420.

Location: 15221 State Route 124, Piketon, OH, 45601-1634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902457062
Provider Name
Tyler Wayne Pack
Credential
Provider Entity Type
Individual
Gender
Male
Address
15221 State Route 124, Piketon, OH, 45601-1634
Phone Number
740-505-1420
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15221 State Route 124
City
Piketon
State
Ohio
Zip
45661
Phone Number
740-505-1420
Fax Number
person
Provider Business Mailing Address Details
Address
15221 State Route 124
City
Piketon
State
Ohio
Zip
45661
Phone Number
740-505-1420
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.
()
Definition
Definition to come...
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