Individual
MS. ATHENA M. BURNSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(656) 683-2195
Mailing address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(656) 683-2195
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
04/20/2026
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