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General NPI Number Information
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NPI Number | 1790506756
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Entity Type | Individual
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Provider Name | ELIZABETH CHELSEY BURTON MA, ALC, NCC
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 300 OFFICE PARK DR
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-2474
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Country | US
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Telephone | 205-538-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 5844 WOODWARD RD
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City | MOUNT OLIVE
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State | AL
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Zip | 35117-3520
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Country | US
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Telephone | 480-335-1404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 04546
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License Number State | AL
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