Individual
ANGENETTE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WASHINGTON MALL STE 1021, BOSTON, MA 02108-2603
(910) 964-5390
Mailing address
9805 STATESVILLE RD STE 6533, CHARLOTTE, NC 28269-7647
(508) 656-0029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12146-MH-CC
MA
Other
Enumeration date
01/04/2021
Last updated
02/22/2022
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