person
Mrs. Amy D Burlison, MED,LPC
Professional Counselor in Fenton, Missouri
NPI 1205962123

Amy D Burlison is a Professional Counselor based in Fenton, MO and is specialized in Professional. Amy D Burlison practices in Fenton, MO and has the professional credentials of MED,LPC. The NPI Number for Amy D Burlison is 1205962123 and holds a License No. 2000162585 (Missouri).

The current practice location address for Amy D Burlison is Mobile Counseling Services, Fenton, MO and can be reached out via phone at 314-691-3611 and via fax at 636-225-1386.

Location: Mobile Counseling Services, Fenton, MO, 63026
person
Provider Profile Details
NPI Number
1205962123
Provider Name
Amy D Burlison
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Female
Address
Mobile Counseling Services, Fenton, MO, 63026
Phone Number
314-691-3611
Fax Number
636-225-1386
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
494670516 05 MO
institution
Provider Business Practice Location Address Details
Address
Mobile Counseling Services
City
State
Zip
63026
Phone Number
314-691-3611
Fax Number
636-225-1386
person
Provider Business Mailing Address Details
Address
Mobile Counseling Services
City
State
Zip
63026
Phone Number
314-691-3611
Fax Number
636-225-1386
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2000162585 (Missouri)
Definition
Definition to come...
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