Individual
DEBRA BURKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LISAC
Contact information
Practice address
207 N GILBERT RD, STE 107, GILBERT, AZ 85234-5812
(480) 345-1313
(480) 345-8282
Mailing address
653 W 10TH ST, MESA, AZ 85201-3204
(480) 241-0234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11185
AZ
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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