Individual
BRIAN JAMES BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 N 1ST ST, #2, ANN ARBOR, MI 48104-1397
(734) 648-0061
Mailing address
367 MEADOWIND CT, PINCKNEY, MI 48169-8939
(734) 648-0061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
Primary
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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