Individual
STACIE NICOLE BURNS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 STATE ST, PONTIAC, MI 48341-1363
(248) 335-5437
(248) 335-7766
Mailing address
54 SENECA ST, PONTIAC, MI 48342-2349
(248) 335-5437
(248) 836-0199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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