Individual
MR. GLENARD EDWARD BURKE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADCNCACII, CCVS,BA
Contact information
Practice address
185 ROUTE 183, STANHOPE, NJ 07874
(973) 426-1640
(973) 426-1641
Mailing address
185 ROUTE 183, STANHOPE, NJ 07874
(973) 426-1640
(973) 426-1641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00128500
NJ
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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