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Individual

ERIN LEE BURCHETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
14572 US RTE 23, WAVERLY, OH 45690-4569
(407) 947-6727
(740) 532-1715
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613
(740) 532-1715

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator
CDCA.166253
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0273568
OH
Enumeration date
04/04/2018
Last updated
10/25/2019
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