Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jahn Quattlebaum

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821577628

Jahn Quattlebaum is an Addiction (Substance Use Disorder) Counselor in Tyler, Texas. Practices as a sole proprietor. Licensed in Colorado and Texas.

Licensed in
CO, TX
In the registry since
2018
Specialties on file
3

Practice location Address checks out

6200 Wilshire Dr
Tyler, TX 75703-4159
Phone: (903) 216-6641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 71752 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12272 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC.0014807 (CO)

Record details

NPI number1821577628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018
Mailing address6200 Wilshire Dr, Tyler, TX 75703-4159

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