Individual
MRS. KARLA J BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
721 W 6TH AVE, RED CLOUD, NE 68970-2278
(402) 746-5614
(402) 746-5684
Mailing address
PO BOX 465, RED CLOUD, NE 68970-0465
(402) 746-5614
(402) 746-5684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2991
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1550
PROFESSIONAL COUNSELOR
NE
01
—
2991
MENTAL HEALTH PRACTITIONE
NE
01
—
85562
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/06/2007
Last updated
07/08/2008
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