Burton Counseling | |
1433 S 1100 E Salt Lake City UT 84105-2434 | |
(801) 581-0422 | |
Not Available |
Full Name | Burton Counseling |
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Speciality | Community/Behavioral Health |
Location | 1433 S 1100 E, Salt Lake City, Utah |
Authorized Official Name and Position | Mark K Burton (PSYCHOLOGIST/MANAGING MEMBER) |
Authorized Official Contact | 8015810422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Burton Counseling 1433 S 1100 E Salt Lake City UT 84105-2434 Ph: (801) 581-0422 | Burton Counseling 1433 S 1100 E Salt Lake City UT 84105-2434 Ph: (801) 581-0422 |
NPI Number | 1003144684 |
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Provider Enumeration Date | 11/19/2009 |
Last Update Date | 04/13/2018 |
Medicare PECOS PAC ID | 7315209848 |
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Medicare Enrollment ID | O20180322000045 |
Identifier | Type | State | Issuer |
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1003144684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 49222542501 (Utah) | Primary |
Provider Name | Lindy S Burton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902990716 PECOS PAC ID: 1658470711 Enrollment ID: I20070702000033 |
Provider Name | Mark K Burton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1902990708 PECOS PAC ID: 1153422423 Enrollment ID: I20180416001870 |
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