Doctor Name: | MICHELLE C BURKE |
NPI Number: | 1063534378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 8 Interchange Dr West Lebanon, NH - 037842003 |
Business Phone Number: | 6032982146 |
Business Fax Number: | 6032982149 |
Mailing Address: | 8 Interchange Dr, WEST LEBANON |
State: | NH |
Postal Code: | 037842003 |
Phone Number: | 6032982146 |
Fax Number: | 6032982149 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |