Organization
BURGESS PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BURGESS (OWNER)
(203) 815-8960
Entity
Organization
Contact information
Practice address
2 CORPORATE DR STE 211, TRUMBULL, CT 06611-1376
(203) 815-8960
Mailing address
40 THIMBLE ISLAND RD, BRANFORD, CT 06405-5721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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