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General NPI Number Information
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NPI Number | 1679843577
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Entity Type | Organization
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Legal Business Name | BURNES & BURNES PSYCHOTHERAPY AND COUNSELING SERVICES
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 794 W GRAND RIVER AVE
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City | BRIGHTON
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State | MI
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Zip | 48116-2392
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Country | US
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Telephone | 248-231-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 HAMBURG RD
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City | BRIGHTON
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State | MI
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Zip | 48116-9160
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Country | US
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Telephone | 248-231-3568
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. WILLIAM LEONARD BURNES
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Credential | LMSW, ACSW, CAADC
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Telephone | 248-231-3568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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