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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACHA N BURGESS

Active Sole Proprietor

STACHA N BURGESS is a Counselor healthcare provider located in GOOSE CREEK, South Carolina. NPI 1265784037 is currently active in the NPPES registry. Verify at CMS.

Counselor · GOOSE CREEK, SC

Registration Details

NPI Number
1265784037
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2012 (13.684158822211 yrs)
Last Updated
Jun 15, 2016
Licenses
6073 (SC)
LPCI-5514 (SC)
Sole Proprietor
Yes

Practice Information

Address
108 CENTRAL AVE STE 3
GOOSE CREEK, SC, 294453079
Browse SC providers · Browse ZIP 29445
Phone
8437894464
Fax
8439702411
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor

Other Counselor Providers in GOOSE CREEK, SC

Name Credential NPI
MS. JAUNITA CUNNINGHAM WRAGG M.P.C. 1457769440
LEAH JONES DIXON MS, LPCA 1790318467
TRACI LATRELLE THOMPSON-BRYANT 1326662867
SHAMA TICSHERA WINSTON-FORD MS,LPC-A 1215799721
REBECCA ANN LINDENBERG 1518823541
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.