Individual
JULIAN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2165 SPICER CV, MEMPHIS, TN 38134-5623
(469) 547-3885
Mailing address
PO BOX 18220, MEMPHIS, TN 38181-0220
(469) 547-3885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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