Individual provider · Type 1 NPI
Theresa Burke, LCDCIII
Addiction (Substance Use Disorder) Counselor · Lorain, OH
NPI number
1609308907
Active
Practice location
2115 W Park Dr
Lorain, OH 44053-1138
Fax (440) 246-0189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCDCIII.101044-3 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609308907
Theresa Burke, LCDCIII's National Provider Identifier is 1609308907, issued on Mar 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Mar 28, 2017.