Basic Information
| Provider Information | |||||||||
| NPI: | 1336280072 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURNS | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MFT INTERN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1749 EATON RD | ||||||||
| Address2: | # 63 | ||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95973 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308921763 | ||||||||
| FaxNumber: | 5308724093 | ||||||||
| Practice Location | |||||||||
| Address1: | 7200 SKYWAY | ||||||||
| Address2: | YOUTH FOR CHANGE | ||||||||
| City: | PARADISE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95969 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308771965 | ||||||||
| FaxNumber: | 5308724093 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | IMF47285 | CA | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.