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Individual

BURTON TIMOTHY CARRIKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC004623

Contact information

Practice address
5466 DOUBLE EAGLE CIR UNIT 3425, AVE MARIA, FL 34142-5233
(770) 316-4120
Mailing address
5466 DOUBLE EAGLE CIR UNIT 3425, AVE MARIA, FL 34142-5233
(770) 316-4120

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
004623
GA
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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