Individual
JACQUIN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27TH SPECIAL OPERATIONS MEDICAL GROUP, 224 W D.L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103-5159
(575) 268-9504
Mailing address
122 COCHRAN AVE E BLDG 575, CANNON AFB, NM 88103-5159
(575) 268-9504
(575) 763-0041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09291
NM
Other
Enumeration date
10/31/2016
Last updated
07/24/2025
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