Individual
COURTNEY BURGESS-MICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
1846 MEMORIAL HIGHWAY, SUITE 3, SHAVERTOWN, PA 18708
(570) 592-0266
(570) 255-5509
Mailing address
2157 LAKESIDE DR, HARVEYS LAKE, PA 18618
(570) 592-0266
(570) 255-5509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007070
PA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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