Individual provider · Type 1 NPI
James Antony Burgos, LPC NCC
Professional Counselor · Shreveport, LA
NPI number
1093466567
Active
Practice location
725 Lincoln Dr
Shreveport, LA 71107-3209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7188 (LA) |
Professional Counselor: Definition to come...
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About NPI 1093466567
James Antony Burgos, LPC NCC's National Provider Identifier is 1093466567, issued on Jan 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Jan 15, 2022.