Individual provider · Type 1 NPI

Jack Burk

Mental Health Counselor · Centerville, MN

NPI number 1942913538 Active

Practice location

7041 20th Ave
Centerville, MN 55038-9737

Mailing address

3808 Heather Dr
Eagan, MN 55122-1623

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942913538

Jack Burk's National Provider Identifier is 1942913538, issued on Dec 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centerville, MN. The record was last updated on Dec 29, 2022.