Individual provider · Type 1 NPI
Antionette Burgess
Professional Counselor · Chicago, IL
NPI number
1346868668
Active
Practice location
2500 W Bradley Pl
Chicago, IL 60618-4716
Mailing address
7754 S Christiana Ave
Chicago, IL 60652-1512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 180.016471 (IL) |
Professional Counselor: Definition to come...
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About NPI 1346868668
Antionette Burgess's National Provider Identifier is 1346868668, issued on Jul 13, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jan 6, 2025.