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Individual

DAVID MCCRARY BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADAC

Contact information

Practice address
141 UNIVERSITY AVE, SEWANEE, TN 37375-2205
(423) 280-0756
Mailing address
1909 LAUREL LAKE DR, MONTEAGLE, TN 37356-5023
(423) 280-0756

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001068
TN

Other

Enumeration date
08/23/2019
Last updated
08/23/2019
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