National Provider Identifier Database

REBECCA A BURDETTE, MS, PROFESSIONAL COU – NPI #1942492020
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

REBECCA A BURDETTE, MS, PROFESSIONAL COU
920 60TH STREET
KENOSHA, WI53140
Phone: 262-654-5333
Fax: 262-654-7818
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X
Health 103TH0004X

* Indicates primary specialty

NPI Profile & details for REBECCA A BURDETTE

NPI Number 1942492020
Credentials MS, PROFESSIONAL COU
Entity Individual
Enumeration date 08/13/2007
Last updated 04/28/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 240-226
  • WI Medicaid: 42133400
Hospital affiliation n/a

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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