Provider Demographics
NPI:1477605590
Name:BURNS, CATHLEEN ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:ANN
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 1:8921 LITTLE RIVER TPKE
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3113
Mailing Address - Country:US
Mailing Address - Phone:703-849-8414
Mailing Address - Fax:703-359-8330
Practice Address - Street 1:9451 SILVER KING CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4713
Practice Address - Country:US
Practice Address - Phone:703-849-8414
Practice Address - Fax:703-359-8330
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional