TYLER YEAGLEY SUDRC NPI 1598427551

NPI Information

  • NPI: 1598427551
  • Provider Name: TYLER YEAGLEY, SUDRC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 12183 LOCKSLEY LN
    AUBURN, CA
    ZIP 95602
  • Phone: (530) 878-5166

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NPI Details

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 4/30/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)12144CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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