Provider Demographics
NPI:1184968083
Name:BURTON, ALISON H (LMFT78877)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:H
Last Name:BURTON
Suffix:
Gender:F
Credentials:LMFT78877
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 S CALLE ABRONIA APT 3
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7495
Mailing Address - Country:US
Mailing Address - Phone:760-567-3212
Mailing Address - Fax:
Practice Address - Street 1:537 S CALLE ABRONIA APT 3
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-7495
Practice Address - Country:US
Practice Address - Phone:760-567-3212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT78877106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist