Individual
BLAIR BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
2857 W 8TH ST, BROOKLYN, NY 11224-3604
(718) 265-4200
(718) 265-8536
Mailing address
2857 W 8TH ST, BROOKLYN, NY 11224-3604
(718) 265-4200
(718) 265-8536
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10558
CASAC
NY
Enumeration date
11/24/2009
Last updated
11/24/2009
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