Individual provider · Type 1 NPI

Reginald David Burgess, MS, LCPC, LCADC

Mental Health Counselor · Baltimore, MD

NPI number 1861615890 Active

Practice location

8830 Orchard Tree Ln, Suite 127
Baltimore, MD 21286-2143

Call (443) 632-3606 Map

Fax (443) 632-3652

Mailing address

8830 Orchard Tree Ln Ste 127
Baltimore, MD 21286-2143

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCA407 (MD)
Mental Health Counselor Primary 101YM0800XLC2419 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1861615890

Reginald David Burgess, MS, LCPC, LCADC's National Provider Identifier is 1861615890, issued on Apr 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baltimore, MD. The record was last updated on Sep 2, 2009.