Individual
MS. SALLY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC,SEP
Contact information
Practice address
20 WEST PARK STREET, SUITE #308, LEBANON, NH 03766-0000
(603) 667-8567
Mailing address
20 W PARK ST, SUITE #308, LEBANON, NH 03766-0000
(603) 667-8567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0548
NH
101YM0800X
Mental Health Counselor
Primary
960
NH
Other
Enumeration date
11/11/2009
Last updated
12/08/2020
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