Individual
KATHLEEN ELEANOR BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1074 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4216
(404) 939-7151
Mailing address
1074 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4216
(404) 939-7151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY004630
GA
Other
Enumeration date
06/14/2016
Last updated
11/06/2023
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