Individual
MR. MICHAEL MORYKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC LMFT
Contact information
Practice address
2811 LINKHORNE DR, SUITE B, LYNCHBURG, VA 24503-3353
(434) 384-1594
(434) 384-3228
Mailing address
2811 LINKHORNE DR, SUITE B, LYNCHBURG, VA 24503-3353
(434) 384-1594
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701001862
VA
106H00000X
Marriage & Family Therapist
0717000148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005406544
—
VA
Enumeration date
04/06/2011
Last updated
04/06/2011
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