Individual provider · Type 1 NPI
Kelly Marie Burden, MSCJ, LICDC
Addiction (Substance Use Disorder) Counselor · Lima, OH
NPI number
1265789952
Active
Practice location
222 S Elizabeth St
Lima, OH 45801-4804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 031041 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265789952
Kelly Marie Burden, MSCJ, LICDC's National Provider Identifier is 1265789952, issued on Aug 13, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on Aug 13, 2012.