JOHNNIE CALISTA BURT M.A. NPI 1083859169

NPI Information

Johnnie Calista Burt, M.A. is a counselor in Woodburn, OR. The provider is 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. Johnnie Calista Burt, M.A. NPI is 1083859169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

354 N PACIFIC HWY
WOODBURN, OR
ZIP 97071-148
Phone: (503) 980-5322

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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