Doctor Name: | DAVID BURKE |
NPI Number: | 1942417175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 6401009899 |
Business Practice Address: | 3380 Fairlanes Ave Sw Suite 4 Grandville, MI - 494181584 |
Business Phone Number: | 6168900883 |
Business Fax Number: | |
Mailing Address: | Po Box 1767, GRAND RAPIDS |
State: | MI |
Postal Code: | 495011767 |
Phone Number: | 6162352090 |
Fax Number: | 6162352099 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 02/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |