Individual
CRYSTAL DAWN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1800 MADISON 257, FREDERICKTOWN, MO 63645-8273
(573) 783-4400
(573) 783-4409
Mailing address
734 HIGHWAY AA, FARMINGTON, MO 63640-7075
(573) 701-0054
(573) 783-4409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009023308
MO
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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