Individual
TYLER KACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCMH
Contact information
Practice address
735 MAPLETON AVE STE 200, MIDDLETOWN, DE 19709-1560
(302) 224-1400
(302) 224-1402
Mailing address
910 S CHAPEL ST STE 102, NEWARK, DE 19713-3468
(302) 224-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011149
DE
Other
Enumeration date
01/07/2022
Last updated
01/31/2024
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