Burlage, Susanna Marie

Burlage, Susanna Marie is an sole proprietor health care provider with primary practice located at 114 Hemlock Ave , Laurel Springs NJ 08021-2120. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Burlage, Susanna Marie can be contacted via phone (856) 669-9958.

Contact Information

Primary practice address
114 Hemlock Ave Laurel Springs NJ 08021-2120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178018313 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00628500 New Jersey

Profile Details

NPI number 1760190276
LBN Legal business name Burlage, Susanna Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated Nov 14th, 2022 - about 3 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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