Individual
BURKE THOMAS BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2 FIFER AVE STE 200, CORTE MADERA, CA 94925-1174
(415) 855-0198
Mailing address
2 FIFER AVE STE 200, CORTE MADERA, CA 94925-1174
(415) 855-0198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32434
IL
1041C0700X
Clinical Social Worker
149.017221
IL
1041C0700X
Clinical Social Worker
Primary
86249
CA
Other
Enumeration date
01/06/2014
Last updated
02/23/2023
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