Individual
JONATHAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C.
Contact information
Practice address
3003 HIGHWAY 95 STE 104, BULLHEAD CITY, AZ 86442-7802
(928) 763-0250
(928) 763-0271
Mailing address
1014 HITCHCOCK DR SW, AIKEN, SC 29803-5399
(803) 514-2977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1903
AZ
Other
Enumeration date
08/03/2006
Last updated
01/08/2010
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