Doctor Name: | DILLON BURNS |
NPI Number: | 1023456142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 089.0093515 |
Business Practice Address: | 286 Hospital Loop Berlin, VT - 056029523 |
Business Phone Number: | 8022290591 |
Business Fax Number: | 8022233667 |
Mailing Address: | Po Box 647, MONTPELIER |
State: | VT |
Postal Code: | 056010647 |
Phone Number: | 8022291399 |
Fax Number: | 8022238623 |
NPI Enumeration Date: | 06/11/2013 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089.0093515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |