Provider Demographics
NPI:1972766251
Name:BURNETT, PATRICIA ANN (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:BURNETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6059 S. QUEBEC ST.
Mailing Address - Street 2:#203
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4514
Mailing Address - Country:US
Mailing Address - Phone:720-234-6010
Mailing Address - Fax:303-690-0303
Practice Address - Street 1:6059 S. QUEBEC ST.
Practice Address - Street 2:#203
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4514
Practice Address - Country:US
Practice Address - Phone:720-234-6010
Practice Address - Fax:303-690-0303
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10202101Y00000X
CO5734101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor