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Individual
TYLER WALSTON
Active
Individual
TYLER WALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC, LPCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC21416
NC
101YM0800X
Mental Health Counselor
A12877
NC
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
A12877
NC
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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