Individual
EFIGENIA FERRER BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1148
(909) 825-7084
Mailing address
6254 1/4 CATAWBA AVE, FONTANA, CA 92336-4524
(909) 644-6686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
11372
CA
104100000X
Social Worker
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2020
Last updated
04/12/2023
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