Individual provider · Type 1 NPI
Shannon Marie Burke, LPCC
Mental Health Counselor · Moriarty, NM
NPI number
1922319938
Active
Practice location
1209 W US Route 66 Ste A
Moriarty, NM 87035-1039
Fax (505) 832-4441
Mailing address
21 Dingo Rd
Moriarty, NM 87035-5498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0130231 (NM) |
| Mental Health Counselor Primary | 101YM0800X | 0156191 (NM) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Moriarty
About NPI 1922319938
Shannon Marie Burke, LPCC's National Provider Identifier is 1922319938, issued on Jun 24, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moriarty, NM. The record was last updated on Jul 21, 2022.