Doctor Name: | SUSAN BEGIN BURNS |
NPI Number: | 1003002536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | LH00003581 |
Business Practice Address: | 2370 130th Ave Ne Ste 106 Bellevue, WA - 980051770 |
Business Phone Number: | 4258819000 |
Business Fax Number: | 4257468016 |
Mailing Address: | 2370 130th Ave Ne Ste 106, BELLEVUE |
State: | WA |
Postal Code: | 980051770 |
Phone Number: | 4258819000 |
Fax Number: | 4257468016 |
NPI Enumeration Date: | 09/18/2007 |
NPI Last Update Date: | 09/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00003581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |