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1689315079
JASON WAYNE BURKE
VISTA, CA
NPI
1689315079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 125972)
Enumeration Date
2022-04-07
Last Update Date
2023-07-06
Business Address
JASON WAYNE BURKE LMFT No.139625
380 S MELROSE DR STE 106
VISTA, CA 92081-6656
Phone number: 760-688-2410
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Mailing Address
JASON WAYNE BURKE LMFT No.139625
2725 JEFFERSON ST # 6-110
CARLSBAD, CA 92008-1705
Phone number: 760-688-2410
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