Individual provider · Type 1 NPI

Theresa Kay Burwick, MAADC II

Addiction (Substance Use Disorder) Counselor · Joplin, MO

NPI number 1164089413 Active

Practice location

2919 E 4th St
Joplin, MO 64801-1625

Fax (417) 624-4558

Mailing address

PO Box 4692
Joplin, MO 64803-4692

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164089413

Theresa Kay Burwick, MAADC II's National Provider Identifier is 1164089413, issued on May 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Joplin, MO. The record was last updated on May 22, 2019.