Individual
MRS. RITA GAY BIRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACADC
Contact information
Practice address
212 EAST 8TH ST, FREMONT, NE 60825
(402) 721-1414
(402) 753-9914
Mailing address
2511 JONES ST, SIOUX CITY, IA 51104-3525
(402) 721-1414
(402) 753-9914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86062
IA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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