Bonnie Burgess, MA/PE

NPI #1295842722 in Martin, Kentucky

Provider Information

NPI Number: 1295842722
Entity Type: Individual
Name: Bonnie Burgess, MA/PE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA/PE
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11206 MAIN ST
City: Martin
State: Kentucky
ZIP Code: 41649
Phone: (606) 285-3142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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