Individual
KELLI DAWN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
(419) 354-4977
Mailing address
3445 SWAN RIDGE LN, MAUMEE, OH 43537-9413
(419) 491-0830
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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