Burgess, Shavonn N

Burgess, Shavonn N is an sole proprietor health care provider with primary practice located at 13101 Allen Rd , Southgate MI 48195-2216. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Burgess, Shavonn N can be contacted via phone (734) 785-7700.

Contact Information

Primary practice address
13101 Allen Rd Southgate MI 48195-2216
Phone: (734) 785-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401011031 Michigan

Profile Details

NPI number 1356602452
LBN Legal business name Burgess, Shavonn N
Credentials M.A., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Nov 7th, 2016 - about 10 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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