Doctor Name: | DR. WARREN W BURNHAM |
NPI Number: | 1336388024 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.S.W., D.MIN. |
License Number: | MSW000689 |
Business Practice Address: | 3633 Wheeler Rd Suite 210 Augusta, GA - 309096549 |
Business Phone Number: | 7068550563 |
Business Fax Number: | 7068550924 |
Mailing Address: | 3633 Wheeler Rd, Suite 210 AUGUSTA |
State: | GA |
Postal Code: | 309096549 |
Phone Number: | 7068550563 |
Fax Number: | 7068550924 |
NPI Enumeration Date: | 02/19/2009 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MSW000689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |