Individual
KELLY BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
100 N 10TH ST, RICHMOND, IN 47374-3112
(765) 973-5550
Mailing address
PO BOX 9, RICHMOND, IN 47375-0009
(765) 973-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005030A
IN
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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