Organization
BURGESS COUNSELING & MEDIATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA J BURGESS LMHP (THERAPIST)
(402) 746-4141
Entity
Organization
Contact information
Practice address
757 HWY 281, SUITE 4, RED CLOUD, NE 68970
(402) 746-4141
Mailing address
PO BOX 383, 757 HWY 281 SUITE 4, RED CLOUD, NE 68970-0383
(402) 746-4141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2991
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025623300
—
NE
Enumeration date
05/06/2008
Last updated
05/06/2008
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