Individual
REGINA GAIL BURTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC, SEP
Contact information
Practice address
72 SUSIE DRISCOLL ROAD, CAMPTON, NH 03223
(603) 536-2271
Mailing address
72 SUSIE DRISCOLL ROAD, CAMPTON, NH 03223
(603) 536-2271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2055
NH
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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