Individual
MICHELE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 MONTEZUMA ST, RIO VISTA, CA 94571-1622
(707) 374-5243
Mailing address
628 MONTEZUMA ST, RIO VISTA, CA 94571-1622
(707) 374-5243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC6317
CA
101YP2500X
Professional Counselor
Primary
APPCC6317
CA
Other
Enumeration date
07/05/2022
Last updated
06/29/2023
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