Individual
A. JANINE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
1925 ASPEN DR, 302 A, SANTA FE, NM 87505-5459
(505) 983-8001
(505) 983-3061
Mailing address
1105 DON GASPAR AVE, SANTA FE, NM 87505-2660
(505) 983-8001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0073981
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24928330
—
NM
Enumeration date
05/14/2007
Last updated
12/11/2010
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