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MR. JOHN AMOS BURT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1396026274

Individual Registrant:
MR. JOHN AMOS BURT 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3509 TIMBERLY LN  CERES, CA 95307-4220 US
Tel: 209-534-5155  Fax: --

Contact information for business:
3509 TIMBERLY LN  CERES, CA 95307-4220 US
Tel: 209-534-5155  Fax: --

Registration Information:
NPI: 1396026274
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA96812

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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