Individual provider · Type 1 NPI

Brandon Tyler Burgess

Counselor · St. Petersburg, FL

NPI number 1023506649 Active

Practice location

445 31st St N
St. Petersburg, FL 33713-7605

Mailing address

4234 Des Moines St NE
St. Petersburg, FL 33703-5443

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1023506649

Brandon Tyler Burgess's National Provider Identifier is 1023506649, issued on Apr 30, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 30, 2018.