Individual
TRACEY BURGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
205 WASHINGTON ST STE 200, BURLINGTON, IA 52601-5261
(319) 208-1280
Mailing address
205 WASHINGTON ST STE 200, BURLINGTON, IA 52601-5261
(319) 208-1280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001607
IA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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