Courtney Burgess-Michak, NCC, LPC
NPI #1578939336 in Shavertown, Pennsylvania
Provider Information
- NPI Number
- 1578939336
- Entity Type
- Individual
- Name
- Courtney Burgess-Michak, NCC, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- NCC, LPC
- Enumeration Date
- Aug 17, 2015
- Last Updated
- Aug 17, 2015
Practice Location
- Address
- 1846 MEMORIAL HIGHWAY
- Address 2
- SUITE 3
- City
- Shavertown
- State
- Pennsylvania
- ZIP Code
- 18708
- Phone
- (570) 592-0266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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