Michael James Burroughs
Individual provider Active NPI Mental Health Counselor · Wareham, MA
NPI 1639210677 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639210677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 215 Sandwich Rd
Wareham, MA 02571-1637 - Phone
- (508) 295-3600
- NPI assigned
- Feb 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
215 Sandwich Rd
Wareham, MA 02571-1637
Mailing address
13 Warr Ave
Wareham, MA 02571-2022
Phone (508) 505-8784
Other providers in Wareham, MA
- Brian C Foote DMD PC
- Bruce M Brown
- Sarah Brown
- Alexa Brynildsen
- Robert Michael Burke Sr.
- Evelyn J Busnengo
- Buzzards Bay Hand Therapy LLC
- Steven Cabral
- Victoria Marie Cabral
- Jean Callahan
All providers in Wareham, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.