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Jack Burk
Mental Health Counselor in Centerville, Minnesota
NPI 1942913538

Jack Burk is a Mental Health Counselor based in Eagan, MN and is specialized in Mental Health. Jack Burk practices in Centerville, MN. The NPI Number for Jack Burk is 1942913538 and holds a License No. (Minnesota).

The current practice location address for Jack Burk is 7041 20Th Ave, Centerville, MN and can be reached out via phone at 612-924-3807.

Location: 7041 20Th Ave, Centerville, MN, 55122-1623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942913538
Provider Name
Jack Burk
Credential
Provider Entity Type
Individual
Gender
Male
Address
7041 20Th Ave, Centerville, MN, 55122-1623
Phone Number
612-924-3807
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7041 20Th Ave
City
Centerville
State
Minnesota
Zip
55038-9737
Phone Number
612-924-3807
Fax Number
person
Provider Business Mailing Address Details
Address
7041 20Th Ave
City
Centerville
State
Minnesota
Zip
55038-9737
Phone Number
612-924-3807
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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