Individual
KIMBERLEY DAWN BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSSW, LADAC, NCACII
Contact information
Practice address
168 THREE SPRINGS RD, NUNNELLY, TN 37137-2670
(931) 729-5040
Mailing address
124 E PALESTINE BLVD, MADISON, TN 37115-4805
(615) 715-2167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000262
TN
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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