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Terry Kenneth Burch, MA,LMHC,LABA
Mental Health Counselor in Petersham, Massachusetts
NPI 1558939892

Terry Kenneth Burch is a Mental Health Counselor based in Petersham, MA and is specialized in Mental Health. Terry Kenneth Burch practices in Petersham, MA and has the professional credentials of MA,LMHC,LABA. The NPI Number for Terry Kenneth Burch is 1558939892 and holds a License No. 1691 (Massachusetts).

The current practice location address for Terry Kenneth Burch is 110 N Main St, Petersham, MA and can be reached out via phone at 978-724-8892.

Location: 110 N Main St, Petersham, MA, 01366-9501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558939892
Provider Name
Terry Kenneth Burch
Credential
MA,LMHC,LABA
Provider Entity Type
Individual
Gender
Male
Address
110 N Main St, Petersham, MA, 01366-9501
Phone Number
978-724-8892
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 N Main St
City
Petersham
State
Massachusetts
Zip
01366-9501
Phone Number
978-724-8892
Fax Number
person
Provider Business Mailing Address Details
Address
110 N Main St
City
Petersham
State
Massachusetts
Zip
01366-9501
Phone Number
978-724-8892
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1691 (Massachusetts)
Definition
Definition to come...
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