Individual
ANDREW R TYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
963 2ND ST SE, CHARLOTTESVILLE, VA 22902-6172
(434) 566-0998
Mailing address
963 2ND ST SE, CHARLOTTESVILLE, VA 22902-6172
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006011
VA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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