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Megan Burgess
Addiction (Substance Use Disorder) Counselor in Gary, Indiana
NPI 1164891404

Megan Burgess is an Addiction (Substance Use Disorder) Counselor based in Gary, IN and is specialized in Addiction (Substance Use Disorder). Megan Burgess practices in Gary, IN. The NPI Number for Megan Burgess is 1164891404 and holds a License No. 33005040A (Indiana).

The current practice location address for Megan Burgess is 4795 Broadway, Gary, IN and can be reached out via phone at 219-887-3688 and via fax at 219-887-2666.

Location: 4795 Broadway, Gary, IN, 46409-2403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164891404
Provider Name
Megan Burgess
Credential
Provider Entity Type
Individual
Gender
Female
Address
4795 Broadway, Gary, IN, 46409-2403
Phone Number
219-887-3688
Fax Number
219-887-2666
Provider Enumeration Date
09/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87000928A 01 IN LCAC LICENSE
institution
Provider Business Practice Location Address Details
Address
4795 Broadway
City
Gary
State
Indiana
Zip
46409
Phone Number
219-887-3688
Fax Number
219-887-2666
person
Provider Business Mailing Address Details
Address
4795 Broadway
City
Gary
State
Indiana
Zip
46409
Phone Number
219-887-3688
Fax Number
219-887-2666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
87000928A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
33005040A (Indiana)
Definition
Definition to come...
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