Individual
TYLER R BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, AADC, NCC
Contact information
Practice address
6171 CHILDERS RD, BARBOURSVILLE, WV 25504
(304) 733-5380
(304) 733-5796
Mailing address
6171 CHILDERS RD, BARBOURSVILLE, WV 25504-1227
(304) 733-5380
(304) 733-5796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2191
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
Enumeration date
09/24/2015
Last updated
05/23/2018
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