Individual provider · Type 1 NPI

Ryan Burke, LPC

Addiction (Substance Use Disorder) Counselor · Jackson, WY

NPI number 1265844815 Active

Practice location

610 W Broadway Ave, Ste L1
Jackson, WY 83001-8213

Fax (307) 734-0017

Mailing address

PO Box 11390
Jackson, WY 83002-1390

Other practice locations

  • 640 E Broadway Ave, Jackson, WY 83001-8642 · (307) 733-2046

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XPPC 830 (WY)
Professional Counselor 101YP2500XLPC-1544 (WY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLPC-1544 (WY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265844815

Ryan Burke, LPC's National Provider Identifier is 1265844815, issued on May 29, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, WY. The record was last updated on Jul 20, 2022.