Burger, Wanda J

Burger, Wanda J is an sole proprietor health care provider with primary practice located at 624 W Main St # 400 , Yadkinville NC 27055-7804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Burger, Wanda J can be contacted via phone (336) 849-7975.

Contact Information

Primary practice address
624 W Main St # 400 Yadkinville NC 27055-7804
Phone: (336) 849-7975
Fax: (336) 849-7767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1039 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5176 North Carolina

Profile Details

NPI number 1114975430
LBN Legal business name Burger, Wanda J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jan 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114975430 NPPES
North Carolina Other 199630 MEDCOST
North Carolina Other 1413E MEDCOST
North Carolina MEDICAID 6103159 MEDCOST
North Carolina Other 01- MEDCOST

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