MEDICARE: DEBRA BURIANEK LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	90848	CA

General Provider Information

NPI Number	:	1225578206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA BURIANEK LMFT

Provider Business Mailing Address
First Line	:	5005 LA MART DR STE 206
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-8901
Country	:	US
Telephone Number	:	951-880-4414
Fax Number	:	951-880-0817

Provider Business Practice Location Address
First Line	:	7471 RUDELL RD
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92881-4278
Country	:	US
Telephone Number	:	951-900-4414
Fax Number	:	951-880-0817

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2017
Last Update Date	:	02/24/2017

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Directions to “ DEBRA BURIANEK LMFT” Practice Location

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