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General NPI Number Information
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NPI Number | 1124411707
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Entity Type | Individual
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Provider Name | MELISSA J BURNS LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 260 GATEWAY DR STE 9-10C
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City | BEL AIR
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State | MD
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Zip | 21014-4268
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Country | US
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Telephone | 443-819-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 BEAR HOLLOW CT
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City | FOREST HILL
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State | MD
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Zip | 21050-2567
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Country | US
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Telephone | 410-652-0611
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC8213
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License Number State | MD
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