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Individual
MS. WANDA J BURGER
Active
Individual
MS. WANDA J BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1039
NC
101YP2500X
Professional Counselor
Primary
5176
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-
CIGNA
NC
01
—
1413E
BLUECROSS BLUESHIELD
NC
01
—
199630
MEDCOST
NC
05
—
6103159
—
NC
Enumeration date
05/05/2006
Last updated
01/16/2019
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