Individual
IRENE BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
14815 MANOR RD, MONKTON, MD 21111-2400
(410) 205-5123
Mailing address
801 JENNINGS MILL DR, BOWIE, MD 20721-6214
(301) 343-9566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12963
MD
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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