Individual
KEVIN R BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2215 LANGHORNE RD, LYNCHBURG, VA 24501-1121
(434) 948-4831
Mailing address
PO BOX 6316, LYNCHBURG, VA 24505-6316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001928
VA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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