Individual
BILLY BURKE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-8700
Mailing address
PO BOX 477, DIXON, CA 95620-0477
(707) 693-5055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4938
CA
101YM0800X
Mental Health Counselor
APCC4938
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
04/02/2024
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