Individual
MRS. PATRICIA MARIE BURBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
432 WILDWOOD AVE, JACKSON, MI 49201-1148
(517) 937-9321
(517) 688-9874
Mailing address
238 STEVES SCENIC DR, HORTON, MI 49246-9742
(517) 937-9321
(517) 688-9874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-00259
MI
101YM0800X
Mental Health Counselor
6401006102
MI
101YP2500X
Professional Counselor
Primary
6401006102
MI
Other
Enumeration date
11/09/2006
Last updated
09/11/2025
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