Individual
MRS. DEBORAH BULLOCK BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.ED, LPC, LCAS,CCS
Contact information
Practice address
852 COUNTRY CLUB RD, ROCKY MOUNT, NC 27804-1706
(252) 443-4401
(252) 972-4502
Mailing address
852 COUNTRY CLUB RD, ROCKY MOUNT, NC 27804-1706
(252) 443-4401
(252) 972-4502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
460 LCAS
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
72 CCS
NC
101YP2500X
Professional Counselor
Primary
4052 LPC
NC
Other
Enumeration date
11/02/2006
Last updated
05/15/2012
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