Individual
MR. CHARLES R BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3319 N SHEFFIELD AVE UNIT 3, CHICAGO, IL 60657-2293
(773) 429-9454
(866) 897-4573
Mailing address
3319 N SHEFFIELD AVE UNIT 3, CHICAGO, IL 60657-2293
(773) 429-9454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007553
IL
Other
Enumeration date
10/18/2007
Last updated
10/06/2010
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