Priscilla Burtt, LICDC

NPI #1245495324 in Lima, Ohio

Provider Information

NPI Number: 1245495324
Entity Type: Individual
Name: Priscilla Burtt, LICDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LICDC
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 205 W MARKET ST FL 5
City: Lima
State: Ohio
ZIP Code: 45801-4865
Phone: (419) 229-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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