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NPI Code Detail

MEDICARE: DR. JEANNE B BURGER EDD LPC LMFT

MEDICARE: DR. JEANNE B BURGER EDD LPC LMFT
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
1101YP2500XProfessional Counselor0701001522VA
2106H00000XMarriage & Family Therapist0717000013VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080721OTHERVASENTARA
2098009OTHERVAANTHEM

General Provider Information

NPI Number : 1073506564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNE B BURGER EDD LPC LMFT
Provider Business Mailing Address
First Line : ACADEMY CROSSING MEDICAL PLAZA
Second Line : 3300 ACADEMY AVENUE
City : PORTSMOUTH
State : VA
Zip : 23703-3205
Country : US
Telephone Number : 757-483-6404
Fax Number : 757-483-0737
Provider Business Practice Location Address
First Line : ACADEMY CROSSING MEDICAL PLAZA
Second Line : 3300 ACADEMY AVE
City : PORTSMOUTH
State : VA
Zip : 23703-3205
Country : US
Telephone Number : 757-483-6404
Fax Number : 757-483-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 09/11/2025

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