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Bradley D Burgess, MA
Professional Counselor in Society Hill, South Carolina
NPI 1730480971

Bradley D Burgess is a Professional Counselor based in Hartsville, SC and is specialized in Professional. Bradley D Burgess practices in Society Hill, SC and has the professional credentials of MA. The NPI Number for Bradley D Burgess is 1730480971 and holds a License No. 6071 (South Carolina).

The current practice location address for Bradley D Burgess is 737 S Main St, Society Hill, SC and can be reached out via phone at 843-378-4501 and via fax at 843-378-4209.

Location: 737 S Main St, Society Hill, SC, 29551-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730480971
Provider Name
Bradley D Burgess
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
737 S Main St, Society Hill, SC, 29551-1090
Phone Number
843-378-4501
Fax Number
843-378-4209
Provider Enumeration Date
11/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC1532 05 SC
institution
Provider Business Practice Location Address Details
Address
737 S Main St
City
Society Hill
State
South Carolina
Zip
29593-8972
Phone Number
843-378-4501
Fax Number
843-378-4209
person
Provider Business Mailing Address Details
Address
737 S Main St
City
Society Hill
State
South Carolina
Zip
29593-8972
Phone Number
843-378-4501
Fax Number
843-378-4209
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6071 (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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6071 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6071 (South Carolina)
Definition
Definition to come...
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