Individual provider · Type 1 NPI

Theresa Burks

Mental Health Counselor · Portland, OR

NPI number 1740636091 Active

Practice location

5100 SW Macadam Ave, Suite 400
Portland, OR 97239-6102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740636091

Theresa Burks's National Provider Identifier is 1740636091, issued on May 5, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 5, 2016.