Individual
MR. BRIAN GONZALEZ-BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS, CRC, MTBC
Contact information
Practice address
104 W FIRETOWER RD, WINTERVILLE, NC 28590-9475
(252) 341-1649
Mailing address
2385 BROCK AVE, WINTERVILLE, NC 28590-9310
(252) 341-1649
(252) 353-1119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1040
NC
101YM0800X
Mental Health Counselor
5198
NC
101YP2500X
Professional Counselor
5198
NC
225A00000X
Music Therapist
06087
NC
225C00000X
Rehabilitation Counselor
Primary
00090419
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142HR
LPC
NC
05
—
6103146
—
NC
Enumeration date
11/02/2006
Last updated
09/11/2025
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