Individual
SHAVONN N BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
27056 ABERDEEN ST, SOUTHFIELD, MI 48076-3667
(734) 785-7704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011031
MI
Other
Enumeration date
06/05/2012
Last updated
11/07/2016
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