Individual
JESSICA E BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
174 CREST AVE, REVERE, MA 02151-4181
(508) 314-5023
Mailing address
174 CREST AVE, REVERE, MA 02151-4181
(508) 314-5023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12192
MA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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