Provider Demographics
NPI:1548344898
Name:TRUEWORTHY, BURNETT THURSTON JR (LPC)
Entity type:Individual
Prefix:MR
First Name:BURNETT
Middle Name:THURSTON
Last Name:TRUEWORTHY
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 MADISON ROAD
Mailing Address - Street 2:SUITE 206 & 1/2
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-3380
Mailing Address - Country:US
Mailing Address - Phone:540-825-4467
Mailing Address - Fax:
Practice Address - Street 1:763 MADISON RD
Practice Address - Street 2:SUITE 206 & 1/2
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3380
Practice Address - Country:US
Practice Address - Phone:540-825-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health