Tyler R Burch
Counselor, Professional in Liberty, MO. Individual provider (NPI-1).
NPI number1164065207
StatusActive
Last updated in NPPESOct 22, 2019
Details
- NPI
- 1164065207
- Entity type
- Individual (NPI-1)
- Name
- Tyler R Burch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2019
- Last updated
- Oct 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2010007553 | MO | Yes |
Practice location
1524 Ne 96th St Ste CLiberty, MO 64068-1380
Phone 816-368-2000 · Fax 816-533-6873
Mailing address
9426 N Monroe CtKansas City, MO 64156-2900
Phone 816-269-7939
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