Individual
GARY L BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Contact information
Practice address
614 N GILBERT ST, DANVILLE, IL 61832-3940
(217) 442-8564
Mailing address
225 CUNNINGHAM AVE, DANVILLE, IL 61832-5417
(217) 442-7826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.004023
IL
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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