Leon Carlton Burgess JR.

NPI #1356610935 in Jefferson, North Carolina

Provider Information

NPI Number: 1356610935
Entity Type: Individual
Name: Leon Carlton Burgess JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 28, 2011
Last Updated: Dec 28, 2011

Practice Location

Address: 221 W MAIN ST
City: Jefferson
State: North Carolina
ZIP Code: 28640-9723
Phone: (704) 939-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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