Individual
JASON BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
47 ALAMEDA RD, LAS VEGAS, NM 87701-3996
(505) 454-9738
Mailing address
47 ALAMEDA RD, LAS VEGAS, NM 87701-3996
(505) 454-9738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0143341
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L7094
—
NM
Enumeration date
09/09/2009
Last updated
10/29/2013
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