Individual
MR. IAIN DOUGLAS BURGUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
110 N ELM AVE, SAINT LOUIS, MO 63119-2418
(314) 961-5718
(314) 918-1521
Mailing address
110 N ELM AVE, SAINT LOUIS, MO 63119-2418
(314) 961-5718
(314) 918-1521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010001234
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/09/2010
Last updated
02/15/2013
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