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NPI Code Detail

MEDICARE: SUSAN BURCHFIELD MS, LPCC

MEDICARE:   SUSAN  BURCHFIELD  MS, LPCC
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
1101YM0800XMental Health CounselorE-2065OH

General Provider Information

NPI Number : 1134344872
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN BURCHFIELD MS, LPCC
Provider Business Mailing Address
First Line : 1054 S WASHINGTON ST
Second Line : SUITE B
City : VAN WERT
State : OH
Zip : 45891-1476
Country : US
Telephone Number : 419-238-1000
Fax Number : 419-238-1071
Provider Business Practice Location Address
First Line : 1054 S WASHINGTON ST STE B
Second Line :
City : VAN WERT
State : OH
Zip : 45891-1476
Country : US
Telephone Number : 419-238-1000
Fax Number : 419-238-1071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 11/26/2024

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Directions to “ SUSAN BURCHFIELD MS, LPCC” Practice Location

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