person
Connie Burnett, LPC
Professional Counselor in Coos Bay, Oregon
NPI 1154487882

Connie Burnett is a Professional Counselor based in North Bend, OR and is specialized in Professional. Connie Burnett practices in Coos Bay, OR and has the professional credentials of LPC. The NPI Number for Connie Burnett is 1154487882 and holds a License No. 1158 (Oregon).

The current practice location address for Connie Burnett is 375 Park Ave, Coos Bay, OR and can be reached out via phone at 406-925-1313. You can also correspond with Connie Burnett through the mailing address at 73495 HIGHWAY 101, NORTH BEND, OR - 97459-7800 (mailing address contact number: 406-925-1313).

Location: 375 Park Ave, Coos Bay, OR, 97459-7800
person
Provider Profile Details
NPI Number
1154487882
Provider Name
Connie Burnett
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
375 Park Ave, Coos Bay, OR, 97459-7800
Phone Number
406-925-1313
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000741910 01 MT BLUE CROSS BLUE SHIELD
256542 05 MT
0255374 05 MT
institution
Provider Business Practice Location Address Details
Address
375 Park Ave
City
State
Zip
97420-2244
Phone Number
406-925-1313
Fax Number
person
Provider Business Mailing Address Details
Address
73495 Highway 101
City
State
Zip
97459-7800
Phone Number
406-925-1313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1158 (Montana)
Definition
Definition to come...
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