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Individual

MS. DANA MICHELLE BURKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3665 KEARNY VILLA RD STE 165, SAN DIEGO, CA 92123-1954
(858) 966-5832
Mailing address
3020 CHILDRENS WAY # MC6001, SAN DIEGO, CA 92123-4223
(858) 576-1700

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC6704
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/08/2018
Last updated
08/01/2023
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