Provider Demographics
NPI:1366166993
Name:BURROWS, EMMA C (LMFT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:C
Last Name:BURROWS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 KALANIANAOLE ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4740
Mailing Address - Country:US
Mailing Address - Phone:808-345-3259
Mailing Address - Fax:
Practice Address - Street 1:301 KALANIANAOLE ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4740
Practice Address - Country:US
Practice Address - Phone:808-345-3259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-796106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist