Individual
MR. JOHN DUANE BURNS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 EAGLE FEATHERS DRIVE, LAME DEER, MT 59043
(406) 477-6381
(406) 477-6727
Mailing address
PO BOX 404, LAME DEER, MT 59043-0404
(406) 477-6381
(406) 477-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-118
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-118
SOUTHWEST CERTIFICATION BOARD
AZ
Enumeration date
11/05/2012
Last updated
11/05/2012
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