Shauna Burgess, LICSW
Counselor, Mental Health in Exeter, NH. Individual provider (NPI-1).
NPI number1902902950
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1902902950
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shauna Burgess
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 1327 | NH | Yes |
| 101YM0800X | Counselor, Mental Health | 110871 | MA | |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
24 Front St Ste 406Exeter, NH 03833
Phone 617-306-0610 · Fax 617-337-4412
Mailing address
24 Front St Ste 406Exeter, NH 03833-2727
Phone 617-306-0610 · Fax 617-337-4412
Other practice locations
24 Front St Ste 406
Exeter, NH 03833
Exeter, NH 03833
Phone 617-306-0610 · Fax 617-337-4412
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