Nicholas Burner, LPC
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1336718477
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1336718477
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Burner
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2021
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6451019467 | MI | Yes |
Practice location
1001 Medical Park Dr Se Ste 200Grand Rapids, MI 49546-3681
Phone 616-259-0132
Mailing address
1001 Medical Park Dr Se Ste 200Grand Rapids, MI 49546-3681
Phone 616-259-0132
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