Individual
MR. CASEY GRANT BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
15 2ND ST NW, BUFFALO, MN 55313-1357
(507) 246-6831
(320) 310-0983
Mailing address
1243 EDMONSON AVE, APT 210, MONTICELLO, MN 55362
(904) 401-4260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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