Individual
MS. DIANE MARIE BURGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2915 E MADISON ST, SEATTLE, WA 98112-4265
(206) 540-8007
Mailing address
2014 193RD AVE SE, SAMMAMISH, WA 98075-9646
(206) 910-0013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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