NPI | 1639846264 |
---|---|
Former Name | VANESSA BURLINGAME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017217) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2001393-TRNE) |
104100000X Social Worker (Licence: VA 0903003982) | |
104100000X Social Worker (Licence: OH S.2310146) | |
1041C0700X Social Worker, Clinical (Licence: OH I.2405733) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103957) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162672) | |
1041C0700X Social Worker, Clinical (Licence: VA 0906012510) | |
Enumeration Date | 2021-08-23 |
Last Update Date | 2025-02-03 |