person
Shannon Marie Burke, LPCC
Mental Health Counselor in Moriarty, New Mexico
NPI 1922319938

Shannon Marie Burke is a Mental Health Counselor based in Moriarty, NM and is specialized in Mental Health. Shannon Marie Burke practices in Moriarty, NM and has the professional credentials of LPCC. The NPI Number for Shannon Marie Burke is 1922319938 and holds a License No. T-0130231 (New Mexico).

The current practice location address for Shannon Marie Burke is 1209 W Us Route 66 Ste A, Moriarty, NM and can be reached out via phone at 505-220-6971 and via fax at 505-832-4441.

Location: 1209 W Us Route 66 Ste A, Moriarty, NM, 87035-5498
person
Provider Profile Details
NPI Number
1922319938
Provider Name
Shannon Marie Burke
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
1209 W Us Route 66 Ste A, Moriarty, NM, 87035-5498
Phone Number
505-220-6971
Fax Number
505-832-4441
Provider Enumeration Date
06/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841738820 01 BILLING NPI
institution
Provider Business Practice Location Address Details
Address
1209 W Us Route 66 Ste A
City
State
Zip
87035-1039
Phone Number
505-220-6971
Fax Number
505-832-4441
person
Provider Business Mailing Address Details
Address
1209 W Us Route 66 Ste A
City
State
Zip
87035-1039
Phone Number
505-220-6971
Fax Number
505-832-4441
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T-0130231 (New Mexico)
Definition
Definition to come...
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