Individual
AUSTIN TYLER YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA/CM
Contact information
Practice address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 752-7830
Mailing address
313 HUDGINS ST, LOGAN, WV 25601-3535
(304) 752-7830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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