Individual
BURTON BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, MCAP, SAP
Contact information
Practice address
5550 NW 111TH BLVD, GAINESVILLE, FL 32653-9711
(352) 440-6622
Mailing address
7014 SW COUNTY ROAD 796, LAKE BUTLER, FL 32054-5539
(352) 440-6622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
22439
FL
Other
Enumeration date
07/18/2017
Last updated
12/13/2024
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