Burdette, Rebecca Ann

Burdette, Rebecca Ann is an individual health care provider with primary practice located at 920 60Th Street , Renosha WI 53140. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Burdette, Rebecca Ann can be contacted via phone (262) 654-5333.

Contact Information

Primary practice address
920 60Th Street Renosha WI 53140
Phone: (262) 654-5333
Fax: (262) 654-7818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X 240-226 Wisconsin
Behavioral Health & Social Service Providers / Counselor 101Y00000X 240-226 Wisconsin

Profile Details

NPI number 1942492020
LBN Legal business name Burdette, Rebecca Ann
Credentials MS, PROFESSIONAL COU
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Apr 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942492020 NPPES
Wisconsin MEDICAID 42133400

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