Individual
TYLER STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5899 W RIVENDELL DR, WEST JORDAN, UT 84081-6500
(800) 776-7116
Mailing address
9721 S TAYSIDE DR, SOUTH JORDAN, UT 84009-9730
(801) 577-2978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10350545-6004
UT
Other
Enumeration date
10/28/2015
Last updated
06/25/2025
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