Individual
GINA LANETTE BURDETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
(614) 882-3401
Mailing address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(614) 882-9338
(614) 882-3401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E.1500018-SUPV
OH
101YM0800X
Mental Health Counselor
Primary
E.1500018-SUPV
OH
101YP2500X
Professional Counselor
E.1500018-SUPV
OH
Other
Enumeration date
10/01/2014
Last updated
09/25/2024
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