Individual
DENISE BURNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 E 18TH ST APT 167, VANCOUVER, WA 98661-6251
(206) 422-1743
Mailing address
4601 E 18TH ST APT 167, VANCOUVER, WA 98661-6251
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61043359
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2015
Last updated
06/11/2020
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