Individual
EMILY BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
501 WASHBURN AVE, LYNDON, KY 40222-4725
(502) 625-5265
Mailing address
501 WASHBURN AVE, LYNDON, KY 40222-4725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
269647
KY
1041C0700X
Clinical Social Worker
Primary
256237
KY
Other
Enumeration date
01/16/2023
Last updated
03/29/2024
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