Individual provider · Type 1 NPI
Mallory Helen Burnett, M.A. LPCC
Mental Health Counselor · Corrales, NM
NPI number
1144558156
Active
Practice location
2469 Corrales Road N.w.
Corrales, NM 87048-7530
Fax (505) 369-1121
Mailing address
47 Desert Willow Rd
Corrales, NM 87048-7530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0127561 (NM) |
| Mental Health Counselor Primary | 101YM0800X | LPCC0150041 (NM) |
Mental Health Counselor: Definition to come...
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About NPI 1144558156
Mallory Helen Burnett, M.A. LPCC's National Provider Identifier is 1144558156, issued on Dec 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corrales, NM. The record was last updated on Mar 19, 2014.