Individual
MR. JONATHAN MARK BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
15214 DRY CREEK RD, NOBLESVILLE, IN 46060-4642
(317) 645-7691
Mailing address
15214 DRY CREEK RD, NOBLESVILLE, IN 46060-4642
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001736A
IN
Other
Enumeration date
07/06/2011
Last updated
04/15/2016
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