Mark Burton
Counselor, Professional in Manchester, CT. Individual provider (NPI-1).
NPI number1912374224
StatusActive
Last updated in NPPESMar 15, 2024
Details
- NPI
- 1912374224
- Entity type
- Individual (NPI-1)
- Name
- Mark Burton
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2015
- Certification date
- Mar 15, 2024
- Last updated
- Mar 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
444 Center StManchester, CT 06040-3926
Phone 860-731-5522 · Fax 860-731-5536
Mailing address
2 Waterside Xing Ste 401Windsor, CT 06095-1588
Phone 860-697-3351 · Fax 860-731-5536
Other practice locations
140 High Street
Springfield, MA 01122
Springfield, MA 01122
Phone 413-747-1811
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