Individual
AMY MARIE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, NCC
Contact information
Practice address
1640 POWERS FERRY RD SE, BUILDING 9, SUITE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Mailing address
1640 POWERS FERRY ROAD SE, BUILDING 9, SUITE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC002358
GA
101YP2500X
Professional Counselor
Primary
LPC006895
GA
Other
Enumeration date
09/24/2009
Last updated
07/16/2012
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