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Individual

CHAUNCEY BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
2729 BROWNSBORO RD APT 7, LOUISVILLE, KY 40206-1249
(502) 599-0018
Mailing address
2729 BROWNSBORO RD APT 7, LOUISVILLE, KY 40206-1249
(502) 599-0018

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/29/2025
Last updated
01/29/2025
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