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Contact Information

JESSICA E BURKE, LMHC
174 CREST AVE
REVERE, MA02151-4181
 Phone: 508-314-5023
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JESSICA E BURKE · (Female)

NPI # 1639829922
Status Active
Credentials LMHC (Licensed Mental Health Counselor)
Entity Individual
Enumeration date 03/28/2022
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 12192
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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