NPI 1003151861

Misty Burchette

Practitioner Counselor Waycross, GA

Practice location

Address: 1007 Mary St, Waycross, GA 31503-3823
Phone: (912) 449-7100

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LPC007073 (GA)

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Registry record

NPI: 1003151861
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2012
Record last updated: 5 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.