Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BURDICK, LCDC
Active Sole ProprietorKELLY BURDICK, LCDC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FT WORTH, Texas. NPI 1477823664 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FT WORTH, TX
Registration Details
- NPI Number
- 1477823664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2012 (14.423861022601 yrs)
- Last Updated
- Jan 5, 2012
- License
-
9848 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4937 DILWORTH CTFT WORTH, TX, 761168836Browse TX providers · Browse ZIP 76116
- Phone
- 8177301482
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| WILLIAM ALLEN | AAS | 1205314093 |
| MRS. MARY THOMPSON | — | 1669015590 |
| RHONDA MAE LINES | LCDC | 1164068797 |
| MICHAEL DOUD | LCDC | 1225674948 |
| MS. BRENDA A MARSDEN | LCDC | 1821634445 |
| LORI CRAVEN | LCDC INTERN | 1144800681 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.