Individual
MRS. AMY D BURLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
MOBILE COUNSELING SERVICES, 1039 ACORN HOLLOW COURT, FENTON, MO 63026
(314) 691-3611
(636) 225-1386
Mailing address
MOBILE COUNSELING SERVICES, 1039 ACORN HOLLOW COURT, FENTON, MO 63026
(314) 691-3611
(636) 225-1386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000162585
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494670516
—
MO
Enumeration date
02/26/2007
Last updated
07/09/2007
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