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Individual

DR. LISA BURROUGHS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., M.H.E., M.DIV

Contact information

Practice address
1716 BRIARCREST DR STE 602, GALLERIA VILLAGE TOWER, BRYAN, TX 77802-2751
(979) 777-9241
(979) 268-0207
Mailing address
1011 WINDING RD, COLLEGE STATION, TX 77840-6159
(979) 777-9241
(979) 268-0207

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
091LB1326 011909
TX

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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