Individual provider · Type 1 NPI
Taylor S. Burge, LPC-IT
Professional Counselor · West Allis, WI
NPI number
1255112421
Active
Practice location
1612 S 76th St Apt 104
West Allis, WI 53214-4690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5463-226 (WI) |
Professional Counselor: Definition to come...
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About NPI 1255112421
Taylor S. Burge, LPC-IT's National Provider Identifier is 1255112421, issued on Oct 12, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Allis, WI. The record was last updated on Oct 12, 2023.