Individual
CHAKA T BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA, NCC
Contact information
Practice address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 355-8244
(336) 546-7630
Mailing address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 355-8244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18079
NC
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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