Individual
ANGELA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCMHC
Contact information
Practice address
2117 POSSUM TROT RD, WAKE FOREST, NC 27587-6652
(336) 392-2794
Mailing address
2117 POSSUM TROT RD, WAKE FOREST, NC 27587-6652
(336) 392-2794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12866
NC
Other
Enumeration date
11/07/2017
Last updated
04/06/2020
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