| Doctor Name: | STEPHANIE T BURNS |
| NPI Number: | 1215222880 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | C.0600611 |
| Business Practice Address: | 120 S Washington St Suite 209 Tiffin, OH - 448832840 |
| Business Phone Number: | 8669368559 |
| Business Fax Number: | 8669368559 |
| Mailing Address: | Po Box 1195, TIFFIN |
| State: | OH |
| Postal Code: | 448837195 |
| Phone Number: | 8669368559 |
| Fax Number: | 8669368559 |
| NPI Enumeration Date: | 06/12/2011 |
| NPI Last Update Date: | 06/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.0600611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |