Individual
DR. CAROL R BURKS
Active
Individual
DR. CAROL R BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
651
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01NL36
BCBS OF NM
NM
05
—
NM100989
—
NM
01
—
VNM0038
VALUE OPTIONS
NM
Enumeration date
01/08/2007
Last updated
10/22/2007
Update your record
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