Individual
MR. ERIC ALAN BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7 SUNCREST RD, PALMER LAKE, CO 80133
(719) 225-1520
Mailing address
PO BOX 325, PALMER LAKE, CO 80133-0325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000246
CO
101YP2500X
Professional Counselor
Primary
LPC.0006537
CO
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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