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Contact Information

JULIE A BURTNESS, LPC CSAC
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI53188
 Phone: 262-549-6600
 Fax: 262-549-6698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JULIE A BURTNESS · (Female)

NPI # 1063529675
Status Active
Credentials LPC CSAC
Entity Individual
Enumeration date 08/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 11453132
  • WI License # 2859125
  • WI Medicaid 39779800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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