Individual
MR. JONATHAN ANDREW BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1000
(618) 939-4444
(618) 939-4181
Mailing address
162 HORSESHOE DR, KIRKWOOD, MO 63122-3731
(314) 821-3484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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