Individual
DANIEL BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 781-3773
Mailing address
1425 SUNSET RD, MAYFIELD HEIGHTS, OH 44124-1617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150776
OH
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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