| NPI | 1679817050 |
|---|---|
| Former Name | LINDA LOU BURRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1481) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 1481) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2012-11-25 |