TYLER YEAGLEY SUDRC NPI 1598427551

NPI Information

NPI: 1598427551
Provider Name: TYLER YEAGLEY, SUDRC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
12183 LOCKSLEY LN
AUBURN, CA
ZIP 95602
Phone: (530) 878-5166
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Tyler Yeagley, SUDRC is an addiction (substance use disorder) counselor in Auburn, CA. Tyler Yeagley, SUDRC NPI is 1598427551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12183 LOCKSLEY LN
AUBURN, CA
ZIP 95602-004
Phone: (530) 878-5166
Fax: (530) 435-5106

The enumeration date for this NPI number is 10/7/2021 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12144	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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