Provider Demographics
NPI:1881902864
Name:BYRER, DIANNE ADRIAN (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:ADRIAN
Last Name:BYRER
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WABASH AVENUE
Mailing Address - Street 2:BARBOUR COUNTY HEALTH DEPT
Mailing Address - City:PHILIPPI
Mailing Address - State:WV
Mailing Address - Zip Code:26416
Mailing Address - Country:US
Mailing Address - Phone:304-457-1670
Mailing Address - Fax:304-457-1296
Practice Address - Street 1:23 WABASH AVENUE
Practice Address - Street 2:
Practice Address - City:PHILIPPI
Practice Address - State:WV
Practice Address - Zip Code:26416
Practice Address - Country:US
Practice Address - Phone:304-457-1670
Practice Address - Fax:304-457-1296
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional