Individual
DR. BRIAN THOMAS BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2292 ADRIENNE DR, CORONA, CA 92882-5113
(773) 318-2361
Mailing address
2292 ADRIENNE DR, CORONA, CA 92882-5113
(773) 318-2361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180008239
IL
103TC0700X
Clinical Psychologist
Primary
PSY31294
CA
Other
Enumeration date
08/20/2012
Last updated
04/26/2024
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