Individual
BRENDAN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R1339090219
Contact information
Practice address
1330 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4880
(760) 322-9065
Mailing address
1330 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4880
(760) 322-9065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1339090219
CA
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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