| Doctor Name: | DUSTIN G BURLESON |
| NPI Number: | 1306080023 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 7307 |
| Business Practice Address: | 360 Beech Street Newland, NC - 286570040 |
| Business Phone Number: | 8287335889 |
| Business Fax Number: | 8282625687 |
| Mailing Address: | 895 State Farm Rd, Suite 508 BOONE |
| State: | NC |
| Postal Code: | 286074917 |
| Phone Number: | 8282649007 |
| Fax Number: | 8282625687 |
| NPI Enumeration Date: | 04/24/2009 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 7307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |