Jahn Quattlebaum, - Counselor in Tyler, TX

Jahn Quattlebaum, is a Counselor - Mental Health based in Tyler, Texas. Jahn Quattlebaum is licensed to practice in Texas (license number 71752) and his current practice location is 6200 Wilshire Dr, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 216-6641.

NPI number for Jahn Quattlebaum is 1821577628 and his current mailing address is 6200 Wilshire Dr, Tyler, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821577628.

Contact Information

Jahn Quattlebaum,
6200 Wilshire Dr,
Tyler, TX 75703-4159
(903) 216-6641
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJahn Quattlebaum
GenderMale
SpecialityCounselor - Mental Health
Location6200 Wilshire Dr, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821577628
  • Provider Enumeration Date: 08/13/2018
  • Last Update Date: 08/13/2018

Medical Identifiers

Medical identifiers for Jahn Quattlebaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821577628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 12272 (Texas)Secondary
101YM0800XCounselor - Mental Health LPC.0014807 (Colorado)Secondary
101YM0800XCounselor - Mental Health 71752 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jahn Quattlebaum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jahn Quattlebaum,
6200 Wilshire Dr,
Tyler, TX 75703-4159

Ph: (903) 216-6641
Jahn Quattlebaum,
6200 Wilshire Dr,
Tyler, TX 75703-4159

Ph: (903) 216-6641

Reviews and Comments


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