Burns, Jacquin

Burns, Jacquin is an sole proprietor health care provider with primary practice located at 122 Cochran Ave E Bldg 575 , Cannon Afb NM 88103-5159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burns, Jacquin can be contacted via phone (575) 268-9504.

Contact Information

Primary practice address
122 Cochran Ave E Bldg 575 Cannon Afb NM 88103-5159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09291 New Mexico

Profile Details

NPI number 1346792843
LBN Legal business name Burns, Jacquin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2016
Last updated Mar 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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