Individual provider · NPI-1

Kenya Chante Burton, LCSW-A

Social Worker, Clinical · Rocky Mount, NC

NPI number1306403308
StatusActive
Last updated in NPPESOct 22, 2020

Details

NPI
1306403308
Entity type
Individual (NPI-1)
Name
Kenya Chante Burton
Credential
LCSW-A
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2019
Certification date
Oct 22, 2020
Last updated
Oct 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalP013193NCYes

Practice location

90 Guardian Ct
Rocky Mount, NC 27804-3017

Phone 252-212-3350 · Fax 252-822-5065

Mailing address

Po Box 2723
Rocky Mount, NC 27802-2723

Phone 252-212-6802 · Fax 252-212-3497

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