Davina Burt
Counselor in Massillon, OH. Individual provider (NPI-1).
NPI number1780163097
StatusActive
Last updated in NPPESAug 20, 2019
Details
- NPI
- 1780163097
- Entity type
- Individual (NPI-1)
- Name
- Davina Burt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CDCA.168313 | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1680 Nave Rd SeMassillon, OH 44646-9604
Phone 330-455-0374 · Fax 330-453-6716
Mailing address
625 Cleveland Ave NwCanton, OH 44702-1805
Phone 330-455-0374 · Fax 330-453-6716
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All 8 Counselor providers in Massillon · All 1,260 providers in Massillon
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