Individual
DR. RAVEN JF BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPC,LPC,NCC,BCTMH
Contact information
Practice address
2550 MARSHALL RD, BILOXI, MS 39531-4747
(228) 207-3549
Mailing address
2550 MARSHALL RD STE 300, BILOXI, MS 39531-4747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2830
MS
101YM0800X
Mental Health Counselor
Primary
2830
MS
101YP2500X
Professional Counselor
2830
MS
Other
Enumeration date
06/17/2022
Last updated
02/06/2023
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