Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH00003581 | WA |
NPI | 1003002536 |
---|---|
Provider Name | Susan Begin Burns |
First Address | Bellevue, WA 98005-1770 |
Second Address | Bellevue, WA 98005-1770 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 18/09/2007 |