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Mr. Reginald David Burgess, MS,LCPC,LCADC
Mental Health Counselor in Baltimore, Maryland
NPI 1861615890

Reginald David Burgess is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Reginald David Burgess practices in Baltimore, MD and has the professional credentials of MS,LCPC,LCADC. The NPI Number for Reginald David Burgess is 1861615890 and holds a License No. LCA407 (Maryland).

The current practice location address for Reginald David Burgess is 8830 Orchard Tree Ln, Baltimore, MD and can be reached out via phone at 443-632-3606 and via fax at 443-632-3652.

Location: 8830 Orchard Tree Ln, Baltimore, MD, 21286-2143
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Provider Profile Details
NPI Number
1861615890
Provider Name
Reginald David Burgess
Credential
MS,LCPC,LCADC
Provider Entity Type
Individual
Gender
Male
Address
8830 Orchard Tree Ln, Baltimore, MD, 21286-2143
Phone Number
443-632-3606
Fax Number
443-632-3652
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013444900 05 MD
institution
Provider Business Practice Location Address Details
Address
8830 Orchard Tree Ln
City
State
Zip
21286-2143
Phone Number
443-632-3606
Fax Number
443-632-3652
person
Provider Business Mailing Address Details
Address
8830 Orchard Tree Ln
City
State
Zip
21286-2143
Phone Number
443-632-3606
Fax Number
443-632-3652
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC2419 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCA407 (Maryland)
Definition
Definition to come...
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