Individual
KRISTINA M BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
(740) 532-1715
Mailing address
1770 CENTENARY RD, GALLIPOLIS, OH 45631-8530
(740) 645-3051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162000
OH
101YP2500X
Professional Counselor
Primary
E.0800503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213059
—
OH
Enumeration date
03/27/2012
Last updated
10/31/2022
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