STACHA BURGESS
Counselor
Active
Individual
NPI: 1265784037
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | 6073 (SC) |
| Counselor - Mental Health | 101YM0800X | No | LPCI-5514 (SC) |
Frequently Asked Questions
NPI 1265784037 is the National Provider Identifier for STACHA BURGESS, a Counselor provider located in Goose Creek, SC. This NPI was enumerated on October 4, 2012.
STACHA BURGESS practices at 108 CENTRAL AVE STE 3, Goose Creek, SC 29445.
Quick Facts
- NPI
- 1265784037
- Type
- Individual
- Enumerated
- Oct 4, 2012
- Last Updated
- Jun 15, 2016
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