| NPI | 1841738820 |
|---|---|
| Other Name | SHANNON M. BURKE, LPCC |
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE BURKE Owner 505-220-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0156191) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-03-16 |