PATRICIA MARIE BURBANK

JACKSON, MI
NPI1699845008
Professional NamePATRICIA BYSON BURBANK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  2-00259)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MI  6401006102)
101YP2500X Counselor, Professional
(Licence: MI  6401006102)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Mrs. PATRICIA MARIE BURBANK LPC
432 WILDWOOD AVE
JACKSON, MI 49201-1148
Phone number: 517-937-9321
Mailing Address
Mrs. PATRICIA MARIE BURBANK LPC
238 STEVES SCENIC DR
HORTON, MI 49246-9742
Phone number: 517-937-9321