Individual
COURTNEY BURDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 E JEFFERSON BLVD, SOUTH BEND, IN 46615-3028
(574) 222-2466
Mailing address
PO BOX 24, BUCHANAN, MI 49107-0024
(574) 222-8028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002175A
IN
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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