Doctor Name: | MR. RICHARD L BURNETT |
NPI Number: | 1033137807 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 12094 |
Business Practice Address: | 325 Tenaha St Center, TX - 75935 |
Business Phone Number: | 9365986413 |
Business Fax Number: | 9365984499 |
Mailing Address: | 325 Tenaha St, CENTER |
State: | TX |
Postal Code: | 75935 |
Phone Number: | 9365986413 |
Fax Number: | 9365984499 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |