person
Taylor S Burge, LPC-IT
Professional Counselor in West Allis, Wisconsin
NPI 1255112421

Taylor S Burge is a Professional Counselor based in West Allis, WI and is specialized in Professional. Taylor S Burge practices in West Allis, WI and has the professional credentials of LPC-IT. The NPI Number for Taylor S Burge is 1255112421 and holds a License No. 5463-226 (Wisconsin).

The current practice location address for Taylor S Burge is 1612 S 76Th St Apt 104, West Allis, WI and can be reached out via phone at 414-334-7061.

Location: 1612 S 76Th St Apt 104, West Allis, WI, 53214-4690
person
Provider Profile Details
NPI Number
1255112421
Provider Name
Taylor S Burge
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
1612 S 76Th St Apt 104, West Allis, WI, 53214-4690
Phone Number
414-334-7061
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1612 S 76Th St Apt 104
City
State
Zip
53214-4690
Phone Number
414-334-7061
Fax Number
person
Provider Business Mailing Address Details
Address
1612 S 76Th St Apt 104
City
State
Zip
53214-4690
Phone Number
414-334-7061
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5463-226 (Wisconsin)
Definition
Definition to come...
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