Individual
EGYPT C BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
13110 SHAKER SQ # C200-E, CLEVELAND, OH 44120-2373
(216) 201-9696
Mailing address
12600 ROCKSIDE RD # 303, GARFIELD HEIGHTS, OH 44125-4525
(216) 543-1194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2202812
OH
Other
Enumeration date
08/09/2016
Last updated
03/26/2022
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