Individual
BENJAMIN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1973
(912) 554-8500
Mailing address
600 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1973
(912) 554-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC002291
GA
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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