Stacha N Burgess
NPI #1265784037 in Goose Creek, South Carolina
Provider Information
- NPI Number
- 1265784037
- Entity Type
- Individual
- Name
- Stacha N Burgess
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Oct 4, 2012
- Last Updated
- Jun 15, 2016
Practice Location
- Address
- 108 CENTRAL AVE STE 3
- City
- Goose Creek
- State
- South Carolina
- ZIP Code
- 29445-3079
- Phone
- (843) 789-4464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
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