Individual
ROBERTA BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
2650 CAMINO DEL RIO N STE 211, SAN DIEGO, CA 92108-1632
(619) 754-0328
(619) 303-8152
Mailing address
9205 BROOKSIDE CIR, SPRING VALLEY, CA 91977-1102
(619) 754-0328
(619) 303-8152
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LEP3395
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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