Provider Demographics
NPI:1336280072
Name:BURNS, BARBARA KAY (MFT INTERN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:KAY
Last Name:BURNS
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 EATON RD
Mailing Address - Street 2:# 63
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973
Mailing Address - Country:US
Mailing Address - Phone:530-892-1763
Mailing Address - Fax:530-872-4093
Practice Address - Street 1:7200 SKYWAY
Practice Address - Street 2:YOUTH FOR CHANGE
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-877-1965
Practice Address - Fax:530-872-4093
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF47285101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor