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General NPI Number Information
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NPI Number | 1396791547
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Entity Type | Individual
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Provider Name | LISA A BURGER M.ED, LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 6900 HOUSTON RD STE 8
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City | FLORENCE
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State | KY
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Zip | 41042-4891
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Country | US
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Telephone | 859-512-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 HOUSTON RD STE 8
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City | FLORENCE
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State | KY
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Zip | 41042-4891
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Country | US
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Telephone | 859-512-0477
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 104273
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License Number State | KY
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