Provider Demographics
NPI:1437835071
Name:BURNETTE-LEE, JULIA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LYNN
Last Name:BURNETTE-LEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:B
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:48 MELANIE HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2870
Mailing Address - Country:US
Mailing Address - Phone:540-654-5044
Mailing Address - Fax:540-654-5044
Practice Address - Street 1:48 MELANIE HOLLOW LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2870
Practice Address - Country:US
Practice Address - Phone:540-654-5044
Practice Address - Fax:540-654-5044
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical