Individual provider · Type 1 NPI

Sierra Iman Burrison, STUDENT

Mental Health Counselor · Plainville, CT

NPI number 1376388348 Active

Practice location

91 Northwest Dr
Plainville, CT 06062-1534

Mailing address

9708 Evening Bird Ln
Laurel, MD 20723-5612

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1376388348

Sierra Iman Burrison, STUDENT's National Provider Identifier is 1376388348, issued on Jul 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plainville, CT. The record was last updated on Jul 1, 2024.