Individual provider · NPI-1

Lisa D Burner, LCSW CAP

Counselor, Addiction (Substance Use Disorder) · Crestview, FL

NPI number1750472841
StatusActive
Last updated in NPPESAug 11, 2026

Details

NPI
1750472841
Entity type
Individual (NPI-1)
Name
Mrs. Lisa D Burner
Credential
LCSW CAP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2006
Certification date
Aug 11, 2026
Last updated
Aug 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)2871FLYes
1041C0700X Social Worker, ClinicalSW 6803FL

Practice location

259 Oakdale Ave East
Crestview, FL 32536

Phone 850-682-1234

Mailing address

259 E Oakdale Ave
Crestview, FL 32539-3547

Phone 850-622-1234 · Fax 850-689-8799

Other practice locations

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Phone 850-883-8616 · Fax 850-833-8330

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