Individual
JACQUE BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDAC
Contact information
Practice address
1490 GRIMES ST, FALLON, NV 89406-3103
(775) 423-1412
Mailing address
PO BOX 1240, FALLON, NV 89407-1240
(775) 423-1412
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01472-L
NV
Other
Enumeration date
07/16/2014
Last updated
07/17/2014
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