Burgess, Tim

Burgess, Tim is an individual health care provider with primary practice located at 10505 W Clearwater Ave , Kennewick WA 99336-8613. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Burgess, Tim can be contacted via phone (509) 378-5553.

Contact Information

Primary practice address
10505 W Clearwater Ave Kennewick WA 99336-8613
Phone: (509) 378-5553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1598532046
LBN Legal business name Burgess, Tim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2023
Last updated Dec 5th, 2023 - about 2 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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