Organization
RUTH BURNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH ANNE BURNETT LPC (MENTAL HEALTH COUNSELOR)
(919) 622-0005
Entity
Organization
Contact information
Practice address
5613 DURALEIGH RD STE 161, RALEIGH, NC 27612-2709
(919) 622-0005
Mailing address
100 QUID CT, CARY, NC 27513-4848
(919) 622-0005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8638
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12419454
BLUE CROSS BLUE SHIELD
NC
05
—
6104808
—
NC
Enumeration date
03/06/2014
Last updated
03/06/2014
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