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Individual

BARBARA BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-1996
(804) 354-5516
Mailing address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 354-1996
(804) 354-5516

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0904001003
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02545000
MAGELLAN MIS
VA
01
029972
VALUE OPTIONS PROV #
VA
01
145208
ANTHEM
VA
01
269810
COMPYSCH
VA
01
303528
ANTHEM
VA
01
68653
CIGNA
VA
01
7854091
AETNA
VA
01
81982
OPTIMA BEHAVIORAL HEALTH
VA
01
861112647
UNITED BEHAVIORAL HEALTH
VA
Enumeration date
02/26/2007
Last updated
05/29/2008
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