Sally W Burman, LCDC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Orange, TX

NPI 1316227705 · NPPES record last updated Aug 17, 2011

Key facts

NPI
1316227705
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
8285 (TX)
Practice address
4305 Tejas Pkwy
Orange, TX 77632-1358
Phone
(409) 839-3852
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8285TXMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 8285 TX Yes

Addresses

Primary practice location

4305 Tejas Pkwy
Orange, TX 77632-1358

Mailing address

2331 Coronado PL
Orange, TX 77630-2261

Other identifiers

IdentifierTypeStateIssuer
8285OtherTXLICENSE NO.

Other providers in Orange, TX

All providers in Orange, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.