| Lisa Burner Llc | |
|
1215 Main Street Suite 107 Philomath OR 97370 | |
| (541) 929-5683 | |
| (541) 929-5684 |
| Full Name | Lisa Burner Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1215 Main Street, Philomath, Oregon |
| Authorized Official Name and Position | Lisa Burner (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5419295683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Burner Llc Po Box 13 Philomath OR 97370-0013 Ph: (541) 929-5683 | Lisa Burner Llc 1215 Main Street Suite 107 Philomath OR 97370 Ph: (541) 929-5683 |
| NPI Number | 1922964709 |
|---|---|
| Provider Enumeration Date | 12/24/2025 |
| Last Update Date | 12/24/2025 |
| Certification Date | 12/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922964709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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