Individual
GREGORY S BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Mailing address
452 W MARKET ST, XENIA, OH 45385-2815
(937) 376-8700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA175808
OH
Other
Enumeration date
03/15/2021
Last updated
03/22/2021
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