Most Relevant Information
Provider Data
| NPI Number: | 1003592478 |
| Provider Name: | JENNIFER THERESA BURKE MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/22/2023 |
| Last Updated: | 06/22/2023 |
Provider Practice Location
575 S MAIN ST
PLYMOUTH
MI
481701778
Practice Location Phone/Fax
| Phone: | 2482137276 |
| Fax: | 3132747933 |
Provider Mailing Location
575 S MAIN ST
PLYMOUTH
MI
481701778
Provider Mailing Phone/Fax
| Phone: | 7347407954 |
| Fax: |