MEDICARE: MARGUERITE BURNETT

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669933388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGUERITE BURNETT

Provider Business Mailing Address
First Line	:	410 PLYMOUTH ST NW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-4857
Country	:	US
Telephone Number	:	360-878-8248
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 YAUGER WAY SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8660
Country	:	US
Telephone Number	:	360-878-8248
Fax Number	:

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

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	02/10/2026

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Directions to “ MARGUERITE BURNETT ” Practice Location

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