Individual
PATRICIA TABOR BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, PLPC, NCC
Contact information
Practice address
7711 BONHOMME AVE STE 850, CLAYTON, MO 63105-1964
(314) 384-6547
Mailing address
7148 MARYLAND AVE, SAINT LOUIS, MO 63130-4416
(314) 604-2210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021040961
MO
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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