| Doctor Name: | SHAWN BURCH |
| NPI Number: | 1306061486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 15542 |
| Business Practice Address: | 1175 Fm 2673 Ste 15 Canyon Lake, TX - 781334514 |
| Business Phone Number: | 8309644054 |
| Business Fax Number: | |
| Mailing Address: | 13011 River Rd, NEW BRAUNFELS |
| State: | TX |
| Postal Code: | 781322117 |
| Phone Number: | 8309644054 |
| Fax Number: | 8309644227 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 15542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |