Individual
MR. MICHAEL DAVID BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
1034 N 3RD ST, SUITE 5-B, COEUR D ALENE, ID 83814-3145
(208) 667-9145
Mailing address
1034 N 3RD ST, SUITE 5-B, COEUR D ALENE, ID 83814-3145
(208) 667-9145
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 2680
ID
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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