Individual
DIANE YOLANDE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4412 PARK RD STE B, CHARLOTTE, NC 28209-3130
(980) 217-6901
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17212
NC
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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