Individual
LAWRENCE PAUL BURK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4635 S LAKESHORE DR, SUITE 110, TEMPE, AZ 85282-7127
(480) 345-4458
(480) 345-4109
Mailing address
4635 S LAKESHORE DR, SUITE 110, TEMPE, AZ 85282-7127
(480) 345-4458
(480) 345-4109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 0953
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC 0953
STATE LICENSE
AZ
Enumeration date
07/17/2006
Last updated
07/08/2007
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