Individual
MR. EMMETT BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 PRINCESS ST, SUITE 202, ALEXANDRIA, VA 22314-2268
(703) 209-6217
Mailing address
700 PRINCESS ST, SUITE 202, ALEXANDRIA, VA 22314-2268
(703) 209-6217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2346
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346-05-001
—
VA
Enumeration date
04/23/2015
Last updated
04/23/2015
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