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NPI Code Detail

MEDICARE: TYLER BURTON

MEDICARE: TYLER BURTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1134084320
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER BURTON
Provider Business Mailing Address
First Line : 519 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 519 COURT ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-3933
Country : US
Telephone Number : 740-351-7140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ TYLER BURTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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