Provider Demographics
NPI:1447535786
Name:BURNS, DEBORAH KAY (LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAY
Last Name:BURNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 STONERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4530
Mailing Address - Country:US
Mailing Address - Phone:817-517-1512
Mailing Address - Fax:
Practice Address - Street 1:603 STONERIDGE CT
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4530
Practice Address - Country:US
Practice Address - Phone:817-517-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional