Burke Counseling & Consulting, Inc. | |
1010 Carondelet Dr Suite 412 Kansas City MO 64114-4859 | |
(816) 210-4982 | |
(816) 763-6540 |
Full Name | Burke Counseling & Consulting, Inc. |
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Speciality | Social Worker |
Location | 1010 Carondelet Dr, Kansas City, Missouri |
Authorized Official Name and Position | Gwendolyn Diane Burke (THERAPIST) |
Authorized Official Contact | 8162104982 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Burke Counseling & Consulting, Inc. 7804 E 119th St Grandview MO 64030-1310 Ph: (816) 210-4982 | Burke Counseling & Consulting, Inc. 1010 Carondelet Dr Suite 412 Kansas City MO 64114-4859 Ph: (816) 210-4982 |
NPI Number | 1881889152 |
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Provider Enumeration Date | 09/10/2007 |
Last Update Date | 02/04/2008 |
Medicare PECOS PAC ID | 2961583968 |
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Medicare Enrollment ID | O20080116000228 |
Identifier | Type | State | Issuer |
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1881889152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2003003710 (Missouri) | Primary |
1041C0700X | Social Worker - Clinical | 2291 (Kansas) | Secondary |
Provider Name | Gwendolyn D Burke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457399974 PECOS PAC ID: 7517919236 Enrollment ID: I20050210000604 |
Provider Name | John S Burke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982769808 PECOS PAC ID: 5890987606 Enrollment ID: I20101015000251 |
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