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Ms. Athena M. Burnside
Adult Mental Health Clinic/Center in San Mateo, California
NPI 1023581196

Athena M. Burnside is an Adult Mental Health Clinic/Center based in San Mateo, CA and is specialized in Adult Mental Health. Athena M. Burnside practices in San Mateo, CA. The NPI Number for Athena M. Burnside is 1023581196 and holds a License No. (California).

The current practice location address for Athena M. Burnside is 2600 S El Camino Real Ste 200, San Mateo, CA and can be reached out via phone at 650-372-4080 and via fax at 650-400-9662.

Location: 2600 S El Camino Real Ste 200, San Mateo, CA, 94403-2382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023581196
Provider Name
Athena M. Burnside
Credential
Provider Entity Type
Individual
Gender
Female
Address
2600 S El Camino Real Ste 200, San Mateo, CA, 94403-2382
Phone Number
650-372-4080
Fax Number
650-400-9662
Provider Enumeration Date
01/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2600 S El Camino Real Ste 200
City
San Mateo
State
California
Zip
94403-2382
Phone Number
650-372-4080
Fax Number
650-400-9662
person
Provider Business Mailing Address Details
Address
2600 S El Camino Real Ste 200
City
San Mateo
State
California
Zip
94403-2382
Phone Number
650-372-4080
Fax Number
650-400-9662
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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