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Individual

MR. GARY MAIN BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LMSW

Contact information

Practice address
46360 GRATIOT AVE., CHESTERFIELD, MI 48051
(586) 948-0224
Mailing address
5769 LONLOH PINES CT, CLARKSTON, MI 48346-4088
(248) 618-7944

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401001100
MI
1041C0700X
Clinical Social Worker
6801021169
MI

Other

Enumeration date
02/02/2007
Last updated
09/11/2025
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