Individual
MS. KELLY L BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRC, LMHC
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-3804
Mailing address
4939 ERNEST WAY, CLAY, NY 13041
(585) 739-2492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004778
NY
225C00000X
Rehabilitation Counselor
Primary
00108513
NY
Other
Enumeration date
12/09/2008
Last updated
10/19/2011
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