Individual provider · Type 1 NPI

Lakia B. Burnside-Atkinson

Mental Health Counselor · Roseburg, OR

NPI number 1710705124 Active

Practice location

3005 NE Diamond Lake Blvd
Roseburg, OR 97470-3609

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist 175T00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710705124

Lakia B. Burnside-Atkinson's National Provider Identifier is 1710705124, issued on Oct 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Jul 28, 2026.