Individual
KENYETTA RICHELLE BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4411 ROSEMONT DR, COLUMBUS, GA 31904-5634
(706) 327-0279
(706) 327-5294
Mailing address
4411 ROSEMONT DR, COLUMBUS, GA 31904-5634
(706) 327-0279
(706) 327-5294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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