NPI 1033870308

Tyler Kackley, LPCMH

Practitioner Mental Health Counselor Middletown, DE

Practice location

Address: 735 Mapleton Ave STE 200, Middletown, DE 19709-1560
Phone: (302) 224-1400
Fax: (302) 224-1402
Mailing address: 910 S Chapel St STE 102, Newark, DE 19713-3468

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence PC-0011149 (DE)

Other Counselor providers in Delaware →

Registry record

NPI: 1033870308
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2022
Record last updated: 31 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.