Individual
ERICA J BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 N MAIN ST RM 207, DRIGGS, ID 83422-5141
(208) 456-3086
Mailing address
PO BOX 1007, DRIGGS, ID 83422-1007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC3081
ID
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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