Provider Demographics
NPI:1609388768
Name:BURNS, VALERIE ROSE (MS, LPC, CSAC, NCC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ROSE
Last Name:BURNS
Suffix:
Gender:F
Credentials:MS, LPC, CSAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 UNIVERSITY AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-4925
Mailing Address - Country:US
Mailing Address - Phone:608-301-5708
Mailing Address - Fax:608-729-3434
Practice Address - Street 1:5900 MONONA DR STE 100
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-3556
Practice Address - Country:US
Practice Address - Phone:608-663-0763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16142-132101YA0400X
WI6284125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100072636Medicaid