MEDICARE: CHRIS BURNER SOMATIC PSYCHOTHERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033003256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRIS BURNER SOMATIC PSYCHOTHERAPY, PLLC

Provider Business Mailing Address
First Line	:	1010 LAMOND AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 LAMOND AVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2021
Country	:	US
Telephone Number	:	646-408-6233
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF SOCIAL WORK/THERAPIST
Name	:	DR. CHRISTOPHER AARON BURNER
Credential	:	DSW, LCSW
Telephone Number	:	646-408-6233

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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