Individual
ELLEN ANN BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
2205 PHYLLIS ST, BENTONVILLE, AR 72712-6490
(479) 750-2020
(479) 750-4843
Mailing address
2440 SOUTH 48TH ST, SPRINGDALE, AR 72762
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
10/02/2014
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