Doctor Name: | DAVID JOHNSTON BURNS |
NPI Number: | 1093114175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | A11033 |
Business Practice Address: | 1400 Willow Ln North Wilkesboro, NC - 286593551 |
Business Phone Number: | 3366675151 |
Business Fax Number: | 3366675048 |
Mailing Address: | 1400 Willow Ln, NORTH WILKESBORO |
State: | NC |
Postal Code: | 286593551 |
Phone Number: | 3366675151 |
Fax Number: | 3366675048 |
NPI Enumeration Date: | 08/14/2014 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A11033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |