Provider Demographics
NPI:1598137226
Name:BURROUGHS, JAMES E JR (MBA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:BURROUGHS
Suffix:JR
Gender:M
Credentials:MBA
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Mailing Address - Street 1:PO BOX 2036
Mailing Address - Street 2:BURROUGHS & JONES COUNSELING AND CONSULTING, LLC
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-2036
Mailing Address - Country:US
Mailing Address - Phone:480-748-9534
Mailing Address - Fax:229-382-8353
Practice Address - Street 1:120 MARTIN LUTHER KING JR DR
Practice Address - Street 2:BURROUGHS & JONES COUNSELING AND CONSULTING, LLC
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-5708
Practice Address - Country:US
Practice Address - Phone:480-748-9534
Practice Address - Fax:229-382-8353
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2024-01-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA13509476OtherCAQH
GA79770372OtherDUNS (D&B)