Doctor Name: | SHELLEY BURNES |
NPI Number: | 1487008579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC, CAADC |
License Number: | 6401009957 |
Business Practice Address: | 747 E 8th St Traverse City, MI - 496862662 |
Business Phone Number: | 2313465232 |
Business Fax Number: | 2319224884 |
Mailing Address: | 747 E 8th St, TRAVERSE CITY |
State: | MI |
Postal Code: | 496862662 |
Phone Number: | 2313465232 |
Fax Number: | 2319224884 |
NPI Enumeration Date: | 04/15/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009957 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
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 |