Lya J Burgess, MSW/LICSW
NPI #1326209644 in New Martinsville, West Virginia
Provider Information
- NPI Number
- 1326209644
- Entity Type
- Individual
- Name
- Lya J Burgess, MSW/LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW/LICSW
- Enumeration Date
- Jun 19, 2008
- Last Updated
- May 7, 2015
Practice Location
- Address
- 200 NORTH ST
- Address 2
- SUITE 101
- City
- New Martinsville
- State
- West Virginia
- ZIP Code
- 26155-1784
- Phone
- (304) 771-8837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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Organizations
| Provider Name | |
|---|---|
| New Martinsville Counseling Center Inc. |
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