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Individual

MS. ANNE MARIE BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
420 MONOCA DR, ERIE, PA 16505-2518
(814) 874-3096
Mailing address
420 MONOCA DR, ERIE, PA 16505-2518
(814) 874-3096

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC005069
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC005069
PROFESSIONAL COUNSELOR LICENSE
PA
Enumeration date
05/05/2008
Last updated
08/06/2009
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