Individual
BOBBI RENEE BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13409 MIDLAND RD APT 142, POWAY, CA 92064-7703
(619) 813-0654
Mailing address
13409 MIDLAND RD APT 142, POWAY, CA 92064-7703
(619) 813-0654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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