NPI | 1427346717 |
---|---|
Former Name | JAMES MORGAN BURNS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65572) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional (Licence: MO 2012012904) | |
Enumeration Date | 2011-07-20 |
Last Update Date | 2019-04-10 |