Individual
TYLER ANDREW CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3564 TEAYS VALLEY RD, HURRICANE, WV 25526-0319
(304) 553-1055
Mailing address
1727 CRESTMONT DR, HUNTINGTON, WV 25701-5312
(304) 993-1592
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BP00946780
WV
104100000X
Social Worker
Primary
BP00946780
WV
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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