Provider Demographics
NPI:1508213935
Name:J. KNOX BURNETT COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:J. KNOX BURNETT COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KNOX
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-202-5716
Mailing Address - Street 1:6330 34TH AVE SW
Mailing Address - Street 2:UNIT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3186
Mailing Address - Country:US
Mailing Address - Phone:425-202-5716
Mailing Address - Fax:
Practice Address - Street 1:6330 34TH AVE SW
Practice Address - Street 2:UNIT B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-3186
Practice Address - Country:US
Practice Address - Phone:425-202-5716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60604834101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty