Individual
DYLAN BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(615) 653-0256
Mailing address
2283 WATERPOINTE CT, COLUMBUS, OH 43209-3328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.161619
OH
Other
Enumeration date
02/08/2018
Last updated
03/17/2018
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