Individual
MS. JULIE ANN BURTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CSAC
Contact information
Practice address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Mailing address
2422 NORTH GRANDVIEW BLVD, WAUKESHA, WI 53188
(262) 549-6600
(262) 549-6698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11453132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2859125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39779800
—
WI
Enumeration date
08/23/2006
Last updated
07/08/2007
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