Individual
COURTNEY T BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303
(318) 449-4474
Mailing address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
LA
Enumeration date
04/18/2018
Last updated
06/01/2018
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