Individual
CHRISTOPHER DYLAN BURGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W CHURCH ST, FREDERICK, MD 21701-5991
(240) 330-4361
Mailing address
1 W CHURCH ST, FREDERICK, MD 21701-5991
(240) 330-4361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15483
MD
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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