# BURGESS COUNSELING & MEDIATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588830905
- **Authorized official:** MS. KARLA J BURGESS LMHP (THERAPIST)
- **Authorized official phone:** (402) 746-4141

## Contact information

- **Practice address:** 757 HWY 281, SUITE 4, RED CLOUD, NE 68970
- **Practice address phone:** (402) 746-4141
- **Mailing address:** PO BOX 383, 757 HWY 281 SUITE 4, RED CLOUD, NE 68970-0383
- **Mailing address phone:** (402) 746-4141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2991 | NE | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 05/06/2008
