MEDICARE: RACHEL LEIGH BURGESS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701010180	VA
2	101YP2500X	Professional Counselor	11451	NC

General Provider Information

NPI Number	:	1659820868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LEIGH BURGESS LPC

Provider Business Mailing Address
First Line	:	10 HICKOK ST STE 201
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3569
Country	:	US
Telephone Number	:	540-315-1445
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 HICKOK ST STE 201
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-3569
Country	:	US
Telephone Number	:	540-315-1445
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2016
Last Update Date	:	01/05/2023

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Directions to “ RACHEL LEIGH BURGESS LPC” Practice Location

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