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Individual
MR. TYLER CHARLES JACOBS-LEWIS
Active
Individual
MR. TYLER CHARLES JACOBS-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LPCC, CCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T23093
IA
101YM0800X
Mental Health Counselor
Primary
111725
IA
101YM0800X
Mental Health Counselor
5283
MN
Other
Enumeration date
07/01/2024
Last updated
11/14/2025
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