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Individual

SAMANTHA KIMBERLY BURKHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRC, LPC

Contact information

Practice address
106 SHOOK RD STE 207, HAWLEY, PA 18428-7059
(570) 251-0338
Mailing address
106 SHOOK RD STE 207, HAWLEY, PA 18428-7059
(570) 251-0338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
PC006195
PA
101YP2500X
Professional Counselor
PC006195
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006195
LPC
Enumeration date
01/09/2012
Last updated
03/17/2023
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