Tyler Wesley Stull, LCPCCADC
Tyler Wesley Stull, LCPCCADC is an Addiction (Substance Use Disorder) Counselor in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1200 W State StRockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 180011338 (IL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 29194 (IL) |
Record details
| NPI number | 1407446636 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCPCCADC |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2021 |
| Last updated in NPPES | October 24, 2023 |
| Certification date | October 24, 2023 |
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Ann Marie Petty, LCSW, CADC
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-
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