Individual
KATHERINE E BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
210 AIRPORT RD, SUITE 103, VIROQUA, WI 54665-1159
(608) 638-7420
(608) 638-7429
Mailing address
210 AIRPORT RD, SUITE 103, VIROQUA, WI 54665-1159
(608) 638-7420
(608) 638-7429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16412-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16412-130
SAC-IT
WI
Enumeration date
03/08/2012
Last updated
03/08/2012
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