Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1356351357 |
---|---|
Provider Name | Alicia Adams Burton |
First Address | Hendersonville, TN 37075-3919 |
Second Address | Murfreesboro, TN 37129-1237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/07/2007 |