Individual
CARL ANTHONY BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADTI
Contact information
Practice address
750 E ORANGE GROVE BLVD, PASADENA, CA 91104-4453
(626) 398-3897
(626) 345-5440
Mailing address
750 E ORANGE GROVE BLVD, PASADENA, CA 91104-4453
(626) 398-3897
(626) 345-5440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1553480324
CA
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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