Individual
MELISSA ROMONA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N PIKE W, SUMTER, SC 29153-1906
(803) 775-9364
Mailing address
353 SUMMER BEND RD, COLUMBIA, SC 29223-7877
(803) 550-7516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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