| Doctor Name: | MRS. CAROLYN ANN ANDERSEN BURGHER |
| NPI Number: | 1053586206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LMHC LMHP LIMHP |
| License Number: | 1750 |
| Business Practice Address: | 35 Main Place Suite 100 Omni Center Business Park Council Bluffs, IA - 51503 |
| Business Phone Number: | 7123209205 |
| Business Fax Number: | |
| Mailing Address: | 16 Locust Lodge, COUNCIL BLUFFS |
| State: | IA |
| Postal Code: | 51503 |
| Phone Number: | 7123289205 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2008 |
| NPI Last Update Date: | 04/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1750 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |