Individual
JEFFREY A BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1031 VERMONT ST STE 150, LAWRENCE, KS 66044-3196
(785) 218-0578
Mailing address
1031 VERMONT ST STE 150, LAWRENCE, KS 66044-3196
(785) 550-7632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3746
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3746
LICENSE
KS
Enumeration date
12/23/2021
Last updated
12/23/2021
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