Individual provider · Type 1 NPI
Charles R. Burt, LCPC
Professional Counselor · Chicago, IL
NPI number
1972792604
Active
Practice location
3319 N Sheffield Ave Unit 3
Chicago, IL 60657-2293
Fax (866) 897-4573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180007553 (IL) |
Professional Counselor: Definition to come...
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About NPI 1972792604
Charles R. Burt, LCPC's National Provider Identifier is 1972792604, issued on Oct 18, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Oct 6, 2010.