| Burton Counseling Llc | |
|
117 W Main St Ste 106 Lancaster OH 43130-3722 | |
| (740) 687-0900 | |
| (740) 689-2725 |
| Full Name | Burton Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 117 W Main St Ste 106, Lancaster, Ohio |
| Authorized Official Name and Position | Wanita Jane Burton (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7406870900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Counseling Llc 1611 Tiki Lane Lancaster OH 43130-8729 Ph: (740) 687-0900 | Burton Counseling Llc 117 W Main St Ste 106 Lancaster OH 43130-3722 Ph: (740) 687-0900 |
| NPI Number | 1821475187 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 9638489305 |
|---|---|
| Medicare Enrollment ID | O20151109001460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821475187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0004084 (Ohio) | Primary |
| Provider Name | Wanita J Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689792665 PECOS PAC ID: 0244485761 Enrollment ID: I20130306000222 |
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