| NPI | 1114110087 |
|---|---|
| Former Name | DANA LYNN BURCKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-20-223) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2020-09-03 |