KENNETH BURTON

VANCOUVER, WA
NPI1306900758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  RC00040371)
Enumeration Date2006-12-20
Last Update Date2007-07-09
Business Address
-- KENNETH BURTON B.A.,CDPT
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
Mailing Address
-- KENNETH BURTON B.A.,CDPT
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405