Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jahn Quattlebaum

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821577628

Jahn Quattlebaum is an Addiction (Substance Use Disorder) Counselor in Tyler, Texas. Practices as a sole proprietor. Licensed in Colorado and Texas.

Licensed in
CO, TX
In the registry since
2018
Specialties on file
3

Practice location Address checks out

6200 Wilshire Dr
Tyler, TX 75703-4159
Phone: (903) 216-6641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 71752 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12272 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC.0014807 (CO)

Record details

NPI number1821577628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018

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