Individual
JERRY MICHAEL BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
109 NANCY COX DR, CAMPBELLSVILLE, KY 42718-8898
(270) 572-1290
Mailing address
109 NANCY COX DR, CAMPBELLSVILLE, KY 42718-8898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
301
KY
Other
Enumeration date
09/28/2006
Last updated
03/25/2011
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