Individual
JEANA M BURKHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 S VAN DYKE RD STE C, BAD AXE, MI 48413-9655
(810) 689-4846
(810) 958-1430
Mailing address
51 AUSTIN STREET, SANDUSKY, MI 48471
(810) 689-4846
(810) 958-1430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386136844
—
MI
Enumeration date
05/31/2018
Last updated
11/01/2024
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