Ronald Burks PMH 823

NPI 1154401446 - Counselor - 101YA0400X

NPI Details
NPI 1154401446
Gender Male
Enumeration Date 10/17/2006
Last Updated 01/08/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1616 PHYSICIANS DR
TALLAHASSEE FL, 32308-4619, US
Phone (850) 431-5144
Fax (850) 431-6105
Business Location
8894 WAUKEENAH HWY
MONTICELLO FL, 32344-7075, US
Phone (850) 997-2445
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Florida
License Number MH9433
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According to our database, Ronald Burks PMH 823 NPI is 1154401446, taxonomy code is 101YA0400X and license number is MH9433, license state is located at Florida. Ronald Burks PMH 823 physically located at 1616 Physicians Dr, Tallahassee FL, 32308-4619. NPI Number Ronald Burks PMH 823 has the Individual type.

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1154401446 NPI number is provided on an as is basis without warranty of any kind. 1154401446 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Burks PMH 823 are for informational purposes only.