Individual
MISS BA'LEIGH ELIZABETH RACHEL BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A, MS
Contact information
Practice address
1810 8TH AVE # B204, FORT WORTH, TX 76110-1352
(682) 329-9869
Mailing address
1016 W. BLUFF ST., FORT WORTH, TX 76102-1352
(682) 329-9869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
91461
TX
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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