MEDICARE: MS. JANELL BURTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1235552464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANELL BURTON

Provider Business Mailing Address
First Line	:	3049 COOL BRIDGE CIR UNIT 1
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-8503
Country	:	US
Telephone Number	:	857-500-0488
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 RESEARCH DRIVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262
Country	:	US
Telephone Number	:	857-500-0488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2014
Last Update Date	:	03/05/2026

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