Individual
MICHAEL BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNLP, CH
Contact information
Practice address
624 MACEDONIA RD NW, BROOKHAVEN, MS 39601-8620
(601) 551-2100
Mailing address
624 MACEDONIA RD NW, BROOKHAVEN, MS 39601-8620
(601) 551-2100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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