Individual
MR. BRIAN EDWARD BURGESS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
242 MAIN ST, ONEONTA, NY 13820-2527
(607) 431-1030
Mailing address
2 HARRISON AVE, ONEONTA, NY 13820-1107
(607) 434-9646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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