Provider Demographics
NPI:1437889169
Name:LAGATTUTA, ANNA BURKE (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:BURKE
Last Name:LAGATTUTA
Suffix:
Gender:F
Credentials:MA, NCC, LPC
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Mailing Address - Street 1:550 PEARL ST APT 302
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1606
Mailing Address - Country:US
Mailing Address - Phone:773-610-2326
Mailing Address - Fax:
Practice Address - Street 1:150 SHELTON MCMURPHEY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5015
Practice Address - Country:US
Practice Address - Phone:541-210-8090
Practice Address - Fax:541-210-5310
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health