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NPI Code Detail

MEDICARE: JODIE ANNE BURNS

MEDICARE: JODIE ANNE BURNS
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
1101YM0800XMental Health Counselor0704018668VA

General Provider Information

NPI Number : 1760333025
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODIE ANNE BURNS
Provider Business Mailing Address
First Line : 7618 ELBA RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-2509
Country : US
Telephone Number : 571-228-5790
Fax Number :
Provider Business Practice Location Address
First Line : 112 S PITT ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3112
Country : US
Telephone Number : 703-534-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ JODIE ANNE BURNS ” Practice Location

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