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Mr. Parke Gillette Burgess JR., LMHCA
Mental Health Counselor in Tacoma, Washington
NPI 1356624753

Parke Gillette Burgess JR. is a Mental Health Counselor based in Tacoma, WA and is specialized in Mental Health. Parke Gillette Burgess JR. practices in Tacoma, WA and has the professional credentials of LMHCA. The NPI Number for Parke Gillette Burgess JR. is 1356624753 and holds a License No. MC60316533 (Washington).

The current practice location address for Parke Gillette Burgess JR. is 3503 N Cheyenne St, Tacoma, WA and can be reached out via phone at 253-304-1411.

Location: 3503 N Cheyenne St, Tacoma, WA, 98407-4822
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Provider Profile Details
NPI Number
1356624753
Provider Name
Parke Gillette Burgess JR.
Credential
LMHCA
Provider Entity Type
Individual
Gender
Male
Address
3503 N Cheyenne St, Tacoma, WA, 98407-4822
Phone Number
253-304-1411
Fax Number
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144986886 01 NPPES
institution
Provider Business Practice Location Address Details
Address
3503 N Cheyenne St
City
State
Zip
98407-4822
Phone Number
253-304-1411
Fax Number
person
Provider Business Mailing Address Details
Address
3503 N Cheyenne St
City
State
Zip
98407-4822
Phone Number
253-304-1411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC60316533 (Washington)
Definition
Definition to come...
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