Individual provider · Type 1 NPI

Qiana Destiny Trinity Burke, RADT

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1922860436 Active

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Call (530) 460-4082 Map

Mailing address

185 E Main St Unit 3066
Grass Valley, CA 95945-9223

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1922860436

Qiana Destiny Trinity Burke, RADT's National Provider Identifier is 1922860436, issued on Jan 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Jan 29, 2024.