Individual
JENNA RAE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2017 BLUEBONNET DR, FORT WORTH, TX 76111-1606
(318) 218-7057
Mailing address
2017 BLUEBONNET DR, FORT WORTH, TX 76111-1606
(318) 218-7057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90121
TX
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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