Stacie Ann Burdge, LCPC
Counselor, Professional in Hagerstown, MD. Individual provider (NPI-1).
NPI number1992018170
StatusActive
Last updated in NPPESJul 16, 2010
Details
- NPI
- 1992018170
- Entity type
- Individual (NPI-1)
- Name
- Stacie Ann Burdge
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2010
- Last updated
- Jul 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC3567 | MD | Yes |
Practice location
1180 Professional CtHagerstown, MD 21740-5852
Phone 301-791-3045 · Fax 240-313-3071
Mailing address
1180 Professional CtHagerstown, MD 21740-5852
Phone 301-791-3045 · Fax 240-313-3071
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