Individual
MARY F BURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC, LAC
Contact information
Practice address
333 2ND ST NW, VALLEY CITY, ND 58072-2971
(701) 840-1924
Mailing address
333 2ND ST NW, VALLEY CITY, ND 58072-2971
(701) 840-1924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1681
ND
101YM0800X
Mental Health Counselor
724-8-15-12A
ND
101YP2500X
Professional Counselor
Primary
724-8-15-12A
ND
Other
Enumeration date
11/25/2014
Last updated
09/25/2020
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