Doctor Name: | MR. ERIC OAKES BURT |
NPI Number: | 1013093467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT |
License Number: | MFC53204 |
Business Practice Address: | 2178 Johnson Avenue San Luis Obispo, CA - 93401 |
Business Phone Number: | 8057814179 |
Business Fax Number: | |
Mailing Address: | 2178 Johnson Avenue, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 93401 |
Phone Number: | 8057814179 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2006 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC53204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |