Doctor Name: | JANET BURLEY |
NPI Number: | 1548651862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A11220 |
Business Practice Address: | 110 Sw Center St Mount Olive, NC - 283652124 |
Business Phone Number: | 9103850223 |
Business Fax Number: | |
Mailing Address: | P.o. Box 4625, HARRELLS |
State: | NC |
Postal Code: | 28444 |
Phone Number: | 9103850223 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A11220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |