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Individual

JASMIN RACHAEL BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S./ED.S.

Contact information

Practice address
971 SW WALNUT ST, HILLSBORO, OR 97123
(503) 640-5297
Mailing address
1000 W THARPE ST, SUITE 7, TALLAHASSEE, FL 32303-5374
(850) 561-8060
(850) 561-1143

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
05/05/2016
Last updated
07/09/2018
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