Individual
MISS MEGAN JESSICA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 272-3766
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 272-3766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
74904
TX
104100000X
Social Worker
—
—
Other
Enumeration date
04/04/2013
Last updated
01/14/2016
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