Individual
MR. JAMAL LIONEL BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
801 N PIKE W, SUMTER, SC 29153-1906
(843) 934-4375
Mailing address
3225 RALEIGH DR APT 31, SUMTER, SC 29150-2077
(843) 373-9993
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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