Burgh-Harris, Vicky Marie

Burgh-Harris, Vicky Marie is an sole proprietor health care provider with primary practice located at 202 Hooker Avenue Therapeutic Counseling Services, Poughkeepsie NY 12603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Burgh-Harris, Vicky Marie can be contacted via phone (845) 337-7046.

Contact Information

Primary practice address
202 Hooker Avenue Therapeutic Counseling Services Poughkeepsie NY 12603
Fax: (845) 214-0629
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 068045-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 076375-1 New York

Profile Details

NPI number 1750373510
LBN Legal business name Burgh-Harris, Vicky Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Dec 21st, 2009 - about 15 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 1750373510 NPPES
New York Other 050429000047 FIDELIS

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