Individual
MYLES JOHN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5715 W ALEXANDER RD STE 110, LAS VEGAS, NV 89130-2815
(510) 612-9478
Mailing address
7075 W GOWAN RD APT 1087, LAS VEGAS, NV 89129-6290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/13/2020
Last updated
11/13/2020
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