Tyler Kim Hummel
Tyler Kim Hummel is a Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
4020 Civic Center DrSan Rafael, CA 94903-4173
Phone: (415) 491-2525
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 04282025100448 (CA) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1558159756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 28, 2025 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
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