Doctor Name: | JESSICA BURROWS |
NPI Number: | 1730517491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 69125 |
Business Practice Address: | 2648 Fm 407 E Suite 215-f Bartonville, TX - 762267006 |
Business Phone Number: | 9402282171 |
Business Fax Number: | |
Mailing Address: | 2648 Fm 407 E, Suite 215-f BARTONVILLE |
State: | TX |
Postal Code: | 762267006 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/16/2013 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 69125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |