Individual
DR. CAROLYN BLAIR BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
411 WEST ST, LANSING, MI 48915-1127
(615) 308-4769
Mailing address
411 WEST ST, LANSING, MI 48915-1127
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301019260
MI
Other
Enumeration date
03/10/2023
Last updated
03/26/2024
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