Individual
MS. MARTHA JANE BURTON-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
902885
OH
101YP2500X
Professional Counselor
Primary
E2704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902885
LICDC
OH
01
—
E2704
LPCC
OH
Enumeration date
07/22/2006
Last updated
07/24/2013
Update your record
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