Individual
ELIAS BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1865 CLEARWATER LOOP NE, RIO RANCHO, NM 87144-5530
(505) 451-4141
Mailing address
1865 CLEARWATER LOOP NE, RIO RANCHO, NM 87144-5530
(505) 451-4141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0573
NM
101YP2500X
Professional Counselor
CTB-2025-0573
NM
Other
Enumeration date
07/29/2021
Last updated
04/10/2026
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