Individual
KYLE R BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3048 E BASELINE RD STE 107, MESA, AZ 85204-7287
(480) 635-6679
Mailing address
14 E GENEVA DR, TEMPE, AZ 85282-3637
(480) 635-6679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC23144
AZ
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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