Individual
DONALD BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC,LCPC,CCS
Contact information
Practice address
57 EXCHANGE ST, PORTLAND, ME 04101-5000
(207) 650-9023
Mailing address
57 EXCHANGE ST, PORTLAND, ME 04101-5000
(207) 650-9023
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC1079
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289160099
—
ME
Enumeration date
10/13/2009
Last updated
09/18/2019
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