Individual
MR. JEREMY WILLIAM BURRAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Mailing address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4198C
AL
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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