| Megan Burgess, | |
|
4795 Broadway, Gary, IN 46409 | |
| (219) 887-3688 | |
| (219) 887-2666 |
| Full Name | Megan Burgess |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4795 Broadway, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164891404 | NPI | - | NPPES |
| 87000928A | Other | IN | LCAC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 33005040A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000928A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Burgess, 4795 Broadway, Gary, IN 46409-2403 Ph: (219) 887-3688 | Megan Burgess, 4795 Broadway, Gary, IN 46409 Ph: (219) 887-3688 |
Mr. Robyn L Pugh-dunlap, M.S. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Grant St, Suite 204, Gary, IN 46404 Phone: 219-887-3570 Fax: 219-887-3574 | |
Austin Jerome Malone, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4905 Melton Rd, Gary, IN 46403 Phone: 219-808-0793 Fax: 765-374-0761 | |
Shanell Lithrese Hightower, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Dominique Russell, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4520 W Ridge Rd Lot 214, Gary, IN 46408 Phone: 312-632-0460 | |
Claude Ann Poupolos, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-886-1332 | |
La Donna Thomas, CADC, MISA I Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Melton Rd, Gary, IN 46403 Phone: 219-938-4651 Fax: 219-938-4679 | |
Yvette Barksdale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Georgia St, Gary, IN 46402 Phone: 219-902-6307 Fax: 219-882-0210 |