Individual provider · Type 1 NPI

Gwen Dale Tyson, MS, LPC, NCC

Counselor · Starkville, MS

NPI number 1942519616 Active

Practice location

57 Trevino Ln Apt 11
Starkville, MS 39759-4443

Call (252) 327-0407 Map

Fax (662) 325-3263

Mailing address

2416 Chippenham Ct
Winterville, NC 28590-9773

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X7368 (NC)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1942519616

Gwen Dale Tyson, MS, LPC, NCC's National Provider Identifier is 1942519616, issued on Sep 29, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Starkville, MS. The record was last updated on Sep 29, 2010.