Individual
JANNA M BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
118 W HIGH ST, EBENSBURG, PA 15931-1539
(814) 472-9330
Mailing address
118 W HIGH ST, EBENSBURG, PA 15931-1539
(814) 472-9330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251601146
—
PA
Enumeration date
01/06/2014
Last updated
01/06/2014
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