Individual
MR. TEDD MICHAEL BURGASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP
Contact information
Practice address
6710 L ST STE 20, LINCOLN, NE 68510-2303
(928) 231-0645
Mailing address
6418 BALDWIN AVE, LINCOLN, NE 68507-2529
(928) 231-0645
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1867
NE
Other
Enumeration date
02/12/2013
Last updated
09/14/2021
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