Individual
MS. TYRESA SEPIA BURKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4667
AK
104100000X
Social Worker
Primary
—
AK
Other
Enumeration date
05/07/2019
Last updated
05/07/2026
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