Burnette, Dana L
Burnette, Dana L is an sole proprietor health care provider with primary practice located at 2320 3Rd St S Ste 300 , Jacksonville Beach FL 32250-4058. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burnette, Dana L can be contacted via phone (904) 545-3239.Contact Information
Primary practice address
2320 3Rd St S Ste 300
Jacksonville Beach FL 32250-4058
Phone: (904) 545-3239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW5986 | Florida |
Profile Details
| NPI number | 1598992844 |
|---|---|
| LBN Legal business name | Burnette, Dana L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2009 |
| Last updated | Oct 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598992844 | NPPES |
| Florida | Other | SW5986 | STATE OF FLORIDA |
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