Individual
MRS. LISA F BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCAC, CAC II, SAP
Contact information
Practice address
601 GREGG AVE, FLORENCE, SC 29501-4316
(843) 665-9349
Mailing address
601 GREGG AVENUE, FLORENCE, SC 29501
(843) 665-9349
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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