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Organization
MADELEINE C. BURGESS, LPC, PLLC
Active
Organization
MADELEINE C. BURGESS, LPC, PLLC
Active
Other names
Downstream Counseling & Integration
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE BURGESS LPC (PRACTICE OWNER / THERAPIST)
(469) 290-2837
Entity
Organization
Contact information
Practice address
1225 W ILLINOIS AVE, DALLAS, TX 75224-1717
(469) 290-2837
Mailing address
1225 W ILLINOIS AVE, DALLAS, TX 75224-1717
(469) 290-2837
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/05/2023
Last updated
10/04/2023
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