Individual
TYLER IZAIAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 LAUREL RD STE 102, VOORHEES, NJ 08043-8301
(856) 772-5809
Mailing address
221 LAUREL RD STE 102, VOORHEES, NJ 08043-8301
(856) 772-5809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC018604
PA
Other
Enumeration date
01/13/2022
Last updated
12/08/2025
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