Doctor Name: | MRS. JULIE C BURNS |
NPI Number: | 1811388028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | 1099 |
Business Practice Address: | 601 Norris Ave Mc Cook, NE - 690013140 |
Business Phone Number: | 3083454067 |
Business Fax Number: | 3083456067 |
Mailing Address: | 601 Norris Ave, Po Box 1093 MC COOK |
State: | NE |
Postal Code: | 690013140 |
Phone Number: | 3083454067 |
Fax Number: | 3083456067 |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |