Individual
MS. LISA ANN BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCM, MSC/MHC
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
(313) 834-4541
Mailing address
15901 WINTHROP ST, DETROIT, MI 48227-2351
(313) 410-9127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-03522
MI
175T00000X
Peer Specialist
M-00492
MI
Other
Enumeration date
03/20/2007
Last updated
03/27/2023
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