Individual
JEFFRY BURGDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
68 POINTE CIR STE 3201, GREENVILLE, SC 29615-6307
(864) 301-6458
Mailing address
68 POINTE CIR STE 3201, GREENVILLE, SC 29615-6307
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3111
CT
101YP2500X
Professional Counselor
Primary
7521
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008039745
—
CT
05
—
008070148
—
CT
Enumeration date
01/11/2017
Last updated
01/17/2024
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