Individual
MICHELLE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8101 VANGUARD DR STE 250, MECHANICSVILLE, VA 23111-4707
(585) 942-4243
Mailing address
2166 HUNTERS MILL RD, POWHATAN, VA 23139-5946
(585) 943-4243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701008749
VA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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