Individual
KIM BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 S WINTER ST, ADRIAN, MI 49221-3876
(517) 263-8905
Mailing address
1040 S WINTER ST, ADRIAN, MI 49221-3876
(517) 263-8905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401015311
MI
101YP2500X
Professional Counselor
Primary
6401015311
MI
Other
Enumeration date
02/22/2016
Last updated
04/11/2018
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