Individual
JENNIFER BURKS,
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 KNIGHT ST, SHREVEPORT, LA 71105-2707
(318) 918-0879
Mailing address
3215 KNIGHT ST, SHREVEPORT, LA 71105-2707
(318) 918-0879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
05/14/2019
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