| Doctor Name: | MEGAN BURKS |
| NPI Number: | 1245607027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC-5877 |
| Business Practice Address: | 2271 Overland Ave Ste 5 Burley, ID - 833182957 |
| Business Phone Number: | 2086789114 |
| Business Fax Number: | |
| Mailing Address: | 4025 N 3329 E, TWIN FALLS |
| State: | ID |
| Postal Code: | 833015796 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2015 |
| NPI Last Update Date: | 08/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-5877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |