| Doctor Name: | KRISTA ELISE BUR |
| NPI Number: | 1093107450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC, NCC |
| License Number: | 6401014713 |
| Business Practice Address: | 26701 Little Mack Ave Saint Clair Shores, MI - 480811843 |
| Business Phone Number: | 5867777761 |
| Business Fax Number: | 5867777763 |
| Mailing Address: | 26701 Little Mack Ave, SAINT CLAIR SHORES |
| State: | MI |
| Postal Code: | 480811843 |
| Phone Number: | 5867777761 |
| Fax Number: | 5867777763 |
| NPI Enumeration Date: | 02/23/2015 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401014713 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |