Individual
SUSAN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2 CORPORATE DR STE 211, TRUMBULL, CT 06611-1376
(203) 815-8960
Mailing address
40 THIMBLE ISLAND RD, BRANFORD, CT 06405-5721
(203) 815-8960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4123
CT
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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