Provider Demographics
NPI:1467854232
Name:BURR, CARIN (LICDC-CS, LPC)
Entity Type:Individual
Prefix:
First Name:CARIN
Middle Name:
Last Name:BURR
Suffix:
Gender:F
Credentials:LICDC-CS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2082
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45501-2082
Mailing Address - Country:US
Mailing Address - Phone:937-925-2180
Mailing Address - Fax:855-925-2181
Practice Address - Street 1:2516 ROSS LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-8614
Practice Address - Country:US
Practice Address - Phone:937-925-2180
Practice Address - Fax:855-925-2181
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH976175101YA0400X
OHC-0006467101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)