Individual
MR. DAVID BURTLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
13825 N 7TH ST, SUITE F, PHOENIX, AZ 85022-4342
(623) 249-2648
Mailing address
19258 N 20TH DR, PHOENIX, AZ 85027-5252
(623) 249-2648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-12552
AZ
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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