Individual provider · Type 1 NPI

Dorothy Loretta Burgess, M.A.

Professional Counselor · Grand Rapids, MI

NPI number 1679697643 Active

Practice location

3744 28th St SE
Grand Rapids, MI 49512-1802

Fax (616) 466-7717

Mailing address

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Other practice locations

  • 942 52nd St SE, Suite #101, Kentwood, MI 49508-6005 · (616) 204-4267

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401010196 (MI)
Professional Counselor Primary 101YP2500X6401019357 (MI)

Professional Counselor: Definition to come...

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About NPI 1679697643

Dorothy Loretta Burgess, M.A.'s National Provider Identifier is 1679697643, issued on Mar 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on May 17, 2021.