Provider Demographics
NPI:1508938978
Name:BURNS, DENISE JEANNETTE (LPC,NCC)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:JEANNETTE
Last Name:BURNS
Suffix:
Gender:F
Credentials:LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4982 SUMMIT POINT RD
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-4651
Mailing Address - Country:US
Mailing Address - Phone:304-725-7968
Mailing Address - Fax:304-725-7968
Practice Address - Street 1:224 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-1824
Practice Address - Country:US
Practice Address - Phone:304-261-2610
Practice Address - Fax:304-725-7968
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health