Overview
Name: KELLY BURKE, LLC
Specialty: Counselor
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers
Classification: Counselor
Specialization: .
Definition of Specialty: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: KELLY BURKE, LLC,6331 CONSTITUTION DR,FORT WAYNE,IN,468041547,US
Mailing Address: KELLY BURKE, LLC,6331 CONSTITUTION DR,FORT WAYNE,IN,468041547,US
Contact #
Practice location phone #: 2602670705
Practice location fax #:
Mailing address Phone #: 2602670705
Mailing Address fax #:
Authorized official Name/Telephone #:KELLY, D, BURKE, LMHCA, OWNER 2602670705
Misc
Date NPI was obtained: 08/23/2021
Last data data was updated: 08/23/2021
Insurances: