Individual
DR. KRISTINA D. BURTON-VUNESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, PSY.D.
Contact information
Practice address
729 W CENTER CIR, SUITE 103, NIXA, MO 65714-7001
(417) 724-0700
(417) 724-0710
Mailing address
729 W CENTER CIR, SUITE 103, NIXA, MO 65714-7001
(417) 724-0700
(417) 724-0710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2008009366
MO
103TH0100X
Health Service Psychologist
Primary
2008009366
MO
1041C0700X
Clinical Social Worker
2004005435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201291
BLUE CROSS BLUE SHIELD
MO
05
—
496125006
—
MO
01
—
9567100
AETNA
MO
Enumeration date
01/25/2006
Last updated
03/30/2009
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