Healthcare Provider Details

I. General information

NPI: 1134385073
Provider Name (Legal Business Name): JO ANNA BURTON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 7TH AVE N
GREAT FALLS MT
59401-1024
US

IV. Provider business mailing address

228 21ST AVE NW
GREAT FALLS MT
59404-1426
US

V. Phone/Fax

Practice location:
  • Phone: 406-315-2227
  • Fax:
Mailing address:
  • Phone: 406-750-7384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-PCLC-LIC-87654
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: