Individual
DIANE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CDP
Contact information
Practice address
1601 - 16TH AVE., SEATTLE, WA 98122
(206) 461-3240
Mailing address
311 NW 79TH ST, SEATTLE, WA 98117-4016
(206) 322-1632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002694
WA
1041C0700X
Clinical Social Worker
Primary
LW00004978
WA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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