Individual
LEANETTE MARIE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC, LPC-INTERN
Contact information
Practice address
101 LAURIE LN, WILLIS, TX 77378-8608
(402) 415-8702
Mailing address
101 LAURIE LN, WILLIS, TX 77378-8608
(402) 415-8702
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14646
TX
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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