Individual
BYRON TYNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 WASHINGTON ST, FRANKLINTON, LA 70438-1718
(985) 322-2026
Mailing address
1841 DOLLY AVE, BOGALUSA, LA 70427-5834
(985) 974-5246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
05/15/2019
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