Doctor Name: | KIM DENISE BURNS |
NPI Number: | 1538413596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW UNDER SUP |
License Number: | |
Business Practice Address: | 103 N 3rd Ave Durant, OK - 747014700 |
Business Phone Number: | 5807459276 |
Business Fax Number: | 5809209056 |
Mailing Address: | 107 S High St, ANTLERS |
State: | OK |
Postal Code: | 745233818 |
Phone Number: | 5802982830 |
Fax Number: | 5802986723 |
NPI Enumeration Date: | 10/30/2012 |
NPI Last Update Date: | 10/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |