# MS. GAVETT BURCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619270311
- **Gender:** F
- **Credential:** M.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 2014009429 | MO | Yes |
| 106H00000X | Marriage & Family Therapist | 77579 | CA | — |

## Other

- **Enumeration date:** 12/18/2010
- **Last updated:** 08/11/2018