Individual
KELLI DAWN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C0008147
OH
101YP2500X
Professional Counselor
Primary
E.1800918
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0008147
STATE OF OHIO COUNSELOR AND SOCIAL WORKER BOARD
OH
01
—
E.1800918
STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
05/13/2011
Last updated
11/01/2018
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