Burns, Kristina M

Burns, Kristina M is an individual health care provider with primary practice located at 700 Park Ave , Ironton OH 45638-1502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Burns, Kristina M can be contacted via phone (740) 532-1613.

Contact Information

Primary practice address
700 Park Ave Ironton OH 45638-1502
Phone: (740) 532-1613
Fax: (740) 532-1715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0800503 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162000 Ohio

Profile Details

NPI number 1114293842
LBN Legal business name Burns, Kristina M
Credentials LPCC-S, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Oct 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114293842 NPPES
Ohio MEDICAID 0213059

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