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Individual
XANDER JOHN BURGESS
Active
Individual
XANDER JOHN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
0013931
CO
Other
Enumeration date
01/03/2018
Last updated
04/16/2025
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