Burkett, Leola Adeline

Burkett, Leola Adeline is an individual health care provider with primary practice located at 29845 Airport Way , Gold Beach OR 97444. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Burkett, Leola Adeline can be contacted via phone (541) 671-0535.

Contact Information

Primary practice address
29845 Airport Way Gold Beach OR 97444
Phone: (541) 671-0535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1649935941
LBN Legal business name Burkett, Leola Adeline
Credentials QMHP-R
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2021
Last updated Sep 7th, 2022 - about 2 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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