person
Stacha N Burgess
Mental Health Counselor in Goose Creek, South Carolina
NPI 1265784037

Stacha N Burgess is a Mental Health Counselor based in Goose Creek, SC and is specialized in Mental Health. Stacha N Burgess practices in Goose Creek, SC. The NPI Number for Stacha N Burgess is 1265784037 and holds a License No. 6073 (South Carolina).

The current practice location address for Stacha N Burgess is 108 Central Ave Ste 3, Goose Creek, SC and can be reached out via phone at 843-789-4464 and via fax at 843-970-2411. You can also correspond with Stacha N Burgess through the mailing address at 108 CENTRAL AVE STE 3, GOOSE CREEK, SC - 29445-3079 (mailing address contact number: 843-789-4464).

Location: 108 Central Ave Ste 3, Goose Creek, SC, 29445-3079
person
Provider Profile Details
NPI Number
1265784037
Provider Name
Stacha N Burgess
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 Central Ave Ste 3, Goose Creek, SC, 29445-3079
Phone Number
843-789-4464
Fax Number
843-970-2411
Provider Enumeration Date
10/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760596480 05 SC
1265784037 05 SC
institution
Provider Business Practice Location Address Details
Address
108 Central Ave Ste 3
City
State
Zip
29445-3079
Phone Number
843-789-4464
Fax Number
843-970-2411
person
Provider Business Mailing Address Details
Address
108 Central Ave Ste 3
City
State
Zip
29445-3079
Phone Number
843-789-4464
Fax Number
843-970-2411
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPCI-5514 (South Carolina)
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
Mental Health
Taxonomy
License No.
6073 (South Carolina)
Definition
Definition to come...
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