Provider Demographics
NPI:1811388028
Name:BURNS, JULIE C (LADC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:C
Last Name:BURNS
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 NORRIS AVE
Mailing Address - Street 2:PO BOX 1093
Mailing Address - City:MC COOK
Mailing Address - State:NE
Mailing Address - Zip Code:69001-3140
Mailing Address - Country:US
Mailing Address - Phone:308-345-4067
Mailing Address - Fax:308-345-6067
Practice Address - Street 1:601 NORRIS AVE
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3140
Practice Address - Country:US
Practice Address - Phone:308-345-4067
Practice Address - Fax:308-345-6067
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1099101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)