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Mr. Mike Vincent Burckhard, LICSW
Mental Health Counselor in Minot, North Dakota
NPI 1104814789

Mike Vincent Burckhard is a Mental Health Counselor based in Minot, ND and is specialized in Mental Health. Mike Vincent Burckhard practices in Minot, ND and has the professional credentials of LICSW. The NPI Number for Mike Vincent Burckhard is 1104814789 and holds a License No. 120 (North Dakota).

The current practice location address for Mike Vincent Burckhard is 315 Main St S, Minot, ND and can be reached out via phone at 701-852-5876 and via fax at 701-852-5883.

Location: 315 Main St S, Minot, ND, 58701-3956
person
Provider Profile Details
NPI Number
1104814789
Provider Name
Mike Vincent Burckhard
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
315 Main St S, Minot, ND, 58701-3956
Phone Number
701-852-5876
Fax Number
701-852-5883
Provider Enumeration Date
10/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17415 01 ND BLUE CROSS ID NUMBER
19118 05 ND
institution
Provider Business Practice Location Address Details
Address
315 Main St S
City
State
Zip
58701-3956
Phone Number
701-852-5876
Fax Number
701-852-5883
person
Provider Business Mailing Address Details
Address
315 Main St S
City
State
Zip
58701-3956
Phone Number
701-852-5876
Fax Number
701-852-5883
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
120 (North Dakota)
Definition
Definition to come...
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