MS. JACQUELYN L. BURGESS
NPI 1003861535
Counselor in Bishopville, SC
- Individual
- Female
- Counselor
About JACQUELYN BURGESS
This page provides the complete NPI Profile along with additional information for Jacquelyn Burgess, a provider established in Bishopville, South Carolina with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1003861535 assigned on May 2006. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1003861535 Verify this NPI
- Provider Name
- MS. JACQUELYN L. BURGESS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- SWCMHC LEE CMHC, 817 BROWN ST. BISHOPVILLE, SC 29010
- Location Phone
- (803) 484-9414
- Location Fax
- (803) 484-4299
- Mailing Address
- SWCMHC, 215 N. MAGNOLIA ST. SUMTER, SC 29151
- Mailing Phone
- (803) 775-9364
- Mailing Fax
- (803) 773-6615
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003861535, enumerated as an "individual" on May 23, 2006.
The provider is located at SWCMHC LEE CMHC, 817 BROWN ST. BISHOPVILLE, SC 29010 and the phone number is (803) 484-9414.
Counselor with taxonomy code 101Y00000X.