Provider Demographics
NPI:1407243991
Name:BURFORD, JOHN DOUGLAS (LPC, CSD, DMIN)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DOUGLAS
Last Name:BURFORD
Suffix:
Gender:M
Credentials:LPC, CSD, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 W 80TH ST
Mailing Address - Street 2:STE. 105
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3837
Mailing Address - Country:US
Mailing Address - Phone:913-642-2190
Mailing Address - Fax:
Practice Address - Street 1:6900 W 80TH ST
Practice Address - Street 2:STE. 105
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3837
Practice Address - Country:US
Practice Address - Phone:913-642-2190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional