Provider Demographics
NPI:1063775971
Name:BURNORE, ANNE DEVON DUTCHER (LPC, LCMHC, LCAS)
Entity type:Individual
Prefix:MRS
First Name:ANNE DEVON
Middle Name:DUTCHER
Last Name:BURNORE
Suffix:
Gender:F
Credentials:LPC, LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 CENTRAL PARK AVE STE E565
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8803
Mailing Address - Country:US
Mailing Address - Phone:910-773-1112
Mailing Address - Fax:
Practice Address - Street 1:222 CENTRAL PARK AVE STE E565
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8803
Practice Address - Country:US
Practice Address - Phone:910-773-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200001424101YM0800X
NC8005101YP2500X
CO0014757101YM0800X
VA0701013379101YM0800X
NMCTB-2023-1040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC513085OtherMHN
NC6115075Medicaid