Individual
CHRISTINE M. BURBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178012153
IL
101YP2500X
Professional Counselor
178012153
IL
101YP2500X
Professional Counselor
Primary
180.012914
IL
Other
Enumeration date
07/18/2016
Last updated
05/30/2020
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