Individual
JESSICA D BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1121 W CHAPEL HILL ST, SUITE 100, DURHAM, NC 27701-3027
(919) 419-3474
(919) 419-9353
Mailing address
1121 W CHAPEL HILL ST, SUITE 100, DURHAM, NC 27701-3027
(919) 419-3474
(919) 419-9353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C008046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
09/13/2010
Last updated
09/14/2015
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