Individual
JENNIFER BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4819 EMPEROR BLVD, DURHAM, NC 27703-0089
(919) 438-3508
Mailing address
10332 RIVER BANK DR, RALEIGH, NC 27614-8930
(949) 433-2755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21497
NC
101YM0800X
Mental Health Counselor
Primary
2085
NC
Other
Enumeration date
02/12/2015
Last updated
11/09/2022
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