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Individual
STEVONA JESSICA LOE BURKS
Active
Individual
STEVONA JESSICA LOE BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, SUDP, LMHCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61094387
WA
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.70037195
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CG61460342
WA
Other
Enumeration date
09/19/2019
Last updated
02/16/2026
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