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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 Specialty Code Provider Type

Counselor

101Y00000X
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for REBECCA A BURDETTE · (Female)

NPI Number 1942492020
Status Active
Credentials MS, PROFESSIONAL COU
Entity Individual
Enumeration date 08/13/2007
Last updated 04/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 240-226
  • WI Medicaid 42133400
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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