| Tyler Wayne Pack, | |
|
15221 State Route 124, Piketon, OH 45661 | |
| (740) 505-1420 | |
| Not Available |
| Full Name | Tyler Wayne Pack |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 15221 State Route 124, Piketon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902457062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Wayne Pack, 401 N High St, Chillicothe, OH 45601-1634 Ph: () - | Tyler Wayne Pack, 15221 State Route 124, Piketon, OH 45661 Ph: (740) 505-1420 |
Luke William Culp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 | |
Steven Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 | |
Shawn Randall Prentice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 937-213-0416 | |
Braun R. Lowery, CDCA/QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 Fax: 740-493-4262 | |
Benjamin Glispie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 St Rt 124, Piketon, OH 45661 Phone: 740-947-6727 | |
Danielle Dawn Sheets, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15221 State Route 772, Piketon, OH 45661 Phone: 740-493-4260 | |
Adam Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 E Main St, Piketon, OH 45661 Phone: 800-321-8293 |