Individual
CHASLYN BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
236 GOODWIN CREST DR, BIRMINGHAM, AL 35209-3702
(205) 224-2087
Mailing address
3531 MISTY HOLLOW DR, BESSEMER, AL 35022-1111
(616) 570-1821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC04427
AL
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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