Organization
SECOND CHANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL P.D. BURTON PHD, LMSW, LAC, CMT (PROPRIETOR AND THERAPIST)
(785) 608-3577
Entity
Organization
Contact information
Practice address
501 SE JEFFERSON ST STE 32, TOPEKA, KS 66607-1173
(785) 608-3577
Mailing address
501 SE JEFFERSON ST STE 32, TOPEKA, KS 66607-1173
(785) 608-3577
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1245
KS
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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