Organization
DIANA F. BURKE, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BURKE LPC (OWNER)
(706) 410-5786
Entity
Organization
Contact information
Practice address
337 S MILLEDGE AVE STE 216, ATHENS, GA 30605-5664
(678) 787-3118
Mailing address
337 S MILLEDGE AVE STE 216, ATHENS, GA 30605-5664
(706) 410-5786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
896450
—
GA
Enumeration date
06/01/2017
Last updated
07/21/2022
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