Individual provider · Type 1 NPI

James E. Burg, LMFT, LMHC, PhD

Mental Health Counselor · Fort Wayne, IN

NPI number 1083716997 Active

Practice location

6202 Constitution Dr Ste D
Fort Wayne, IN 46804-1583

Fax (260) 432-8503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X35001289A (IN)
Mental Health Counselor Primary 101YM0800X39000886A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1083716997

James E. Burg, LMFT, LMHC, PhD's National Provider Identifier is 1083716997, issued on Sep 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 5, 2024.