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

BRADLEY D BURGESS, M.A..

Active

BRADLEY D BURGESS, M.A.. is a Professional Counselor healthcare provider located in SOCIETY HILL, South Carolina. NPI 1730480971 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SOCIETY HILL, SC

Registration Details

NPI Number
1730480971
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2010 (15.732816582187 yrs)
Last Updated
Sep 13, 2017
Licenses
6071 (SC)
6071 (SC)
6071 (SC)

Practice Information

Address
737 S MAIN ST
SOCIETY HILL, SC, 295938972
Browse SC providers · Browse ZIP 29593
Phone
8433784501
Fax
8433784209
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
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.