Individual
MICHAEL LEE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
320 MCCOMBS RD STE C, CHAPARRAL, NM 88081-7937
(575) 882-5100
(575) 882-1151
Mailing address
320 MCCOMBS RD STE C, CHAPARRAL, NM 88081-7937
(575) 882-5100
(575) 882-1151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0172121
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64153274
—
NM
Enumeration date
05/07/2015
Last updated
05/07/2015
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