Tedd Michael Burgason LPC

NPI 1265771174 - Counselor - 101YP2500X

NPI Details
NPI 1265771174
Gender Male
Enumeration Date 02/12/2013
Last Updated 02/12/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1354 S LAZY FOX DR
WICKENBURG AZ, 85390-3166, US
Phone (928) 231-0645
Fax
Business Location
1354 S LAZY FOX DR
WICKENBURG AZ, 85390-3166, US
Phone (928) 231-0645
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Arizona
License Number LPC 2020
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According to our database, Mr. Tedd Michael Burgason LPC NPI is 1265771174, taxonomy code is 101YP2500X and license number is LPC 2020, license state is located at Arizona. Tedd Michael Burgason LPC physically located at 1354 S Lazy Fox Dr, Wickenburg AZ, 85390-3166. NPI Number Tedd Michael Burgason LPC has the Individual type.

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1265771174 NPI number is provided on an as is basis without warranty of any kind. 1265771174 is maintained by the National Plan & Provider Enumeration System. The contents of Tedd Michael Burgason LPC are for informational purposes only.