Individual
CHANTEL LEE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADTP 19375
Contact information
Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Mailing address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19375
CA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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