Individual
SALLY W BURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4305 TEJAS PKWY, ORANGE, TX 77632-1358
(409) 839-3852
Mailing address
2331 CORONADO PL, ORANGE, TX 77630-2261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8285
LICENSE NO.
TX
Enumeration date
08/17/2011
Last updated
08/17/2011
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