Individual
MS. LAUREN KIMBALL TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7 GLITTER GULCH WAY, EDGEWOOD, NM 87015-8738
(970) 739-4626
Mailing address
7 GLITTER GULCH WAY, EDGEWOOD, NM 87015-8738
(970) 739-4626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0156401
NM
Other
Enumeration date
12/20/2010
Last updated
05/25/2025
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