person
Ms. Martha Doran Burkett, LPC,NCC,CAADC,ADS
Professional Counselor in Grand Rapids, Michigan
NPI 1689856627

Martha Doran Burkett is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Martha Doran Burkett practices in Grand Rapids, MI and has the professional credentials of LPC,NCC,CAADC,ADS. The NPI Number for Martha Doran Burkett is 1689856627 and holds a License No. C-00076 (Michigan).

The current practice location address for Martha Doran Burkett is 2424 Burton St Se Ste 104, Grand Rapids, MI and can be reached out via phone at 616-541-4211.

Location: 2424 Burton St Se Ste 104, Grand Rapids, MI, 49546-4833
person
Provider Profile Details
NPI Number
1689856627
Provider Name
Martha Doran Burkett
Credential
LPC,NCC,CAADC,ADS
Provider Entity Type
Individual
Gender
Female
Address
2424 Burton St Se Ste 104, Grand Rapids, MI, 49546-4833
Phone Number
616-541-4211
Fax Number
Provider Enumeration Date
12/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401009140 01 MI COUNSELING LICENSE
5797 01 NATIONAL AURICULAR ACUDETOX ASSOCIATION ADS CERTIFICATE
11806665 01 CAQH
95289 01 NCC
C-00076 01 MI CAADC
institution
Provider Business Practice Location Address Details
Address
2424 Burton St Se Ste 104
City
State
Zip
49546-4833
Phone Number
616-541-4211
Fax Number
person
Provider Business Mailing Address Details
Address
2424 Burton St Se Ste 104
City
State
Zip
49546-4833
Phone Number
616-541-4211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6401009140 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C-00076 (Michigan)
Definition
Definition to come...
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