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Contact Information

JACKIE C BURNEY
22 INDUSTRIAL PARK DR STE A
WALDORF, MD20602-2792
 Phone: 240-296-6273
 Fax: 240-296-6273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JACKIE C BURNEY · (Female)

NPI # 1831072313
Status Active
Credentials
Entity Individual
Enumeration date 07/30/2025
Last updated 07/30/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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