Individual
AMY BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
618 FAIRMONT AVE, FAIRMONT, WV 26554-5104
(304) 435-2424
(304) 363-4006
Mailing address
618 FAIRMONT AVE, FAIRMONT, WV 26554-5104
(304) 435-2424
(304) 363-4006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1888
WV
Other
Enumeration date
04/23/2008
Last updated
07/02/2012
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