Burkett, Martha Doran

Burkett, Martha Doran is an sole proprietor health care provider with primary practice located at 2424 Burton St Se Ste 104 , Grand Rapids MI 49546-4833. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Burkett, Martha Doran can be contacted via phone (616) 541-4211.

Contact Information

Primary practice address
2424 Burton St Se Ste 104 Grand Rapids MI 49546-4833
Fax:
Website:

Health care specialties

Profile Details

NPI number 1689856627
LBN Legal business name Burkett, Martha Doran
Credentials LPC, NCC, CAADC,ADS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2007
Last updated Aug 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689856627 NPPES
Michigan Other 6401009140 COUNSELING LICENSE
Michigan Other 5797 COUNSELING LICENSE
Michigan Other 11806665 COUNSELING LICENSE
Michigan Other 95289 COUNSELING LICENSE
Michigan Other C-00076 COUNSELING LICENSE

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