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Provider Information for 1780759134


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LEONARD FRANCIS BURNS L.M.F.T.


Sex: Male

NPI: 1780759134
Last Updated: 2021-01-05
Certification Date: 2021-01-05

Details

NameValue
NPI1780759134
Enumeration Date2006-11-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 340 DAKOTA AVE
A
SANTA CRUZ, CA 95060-4102
United States

Phone: 831-420-1828 | Fax:
 
Primary Practice Address 340 DAKOTA AVE APT A
SANTA CRUZ, CA 95060-4162
United States

Phone: 831-419-8087 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CA41473Santa Clara County Billin
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA25369