Individual
MR. CHARLES JONATHAN BURLILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
86 ADAMS ST, WESTBOROUGH, MA 01581-3613
(508) 366-9999
Mailing address
86 ADAMS ST, WESTBOROUGH, MA 01581-3613
(508) 366-9999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC 1552
MA
Other
Enumeration date
07/10/2007
Last updated
11/07/2012
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