Individual
KEITH BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
Mailing address
518 S BROWNE ST, SPOKANE, WA 99204-2315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60562354
WA
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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