Burke, Ryan
Burke, Ryan is an individual health care provider with primary practice located at 610 W Broadway Ave Ste L1, Jackson WY 83001-8213. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Burke, Ryan can be contacted via phone (307) 733-3908.Contact Information
Primary practice address
610 W Broadway Ave Ste L1
Jackson WY 83001-8213
Phone: (307) 733-3908
Fax: (307) 734-0017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PPC 830 | Wyoming |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-1544 | Wyoming |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LPC-1544 | Wyoming |
Profile Details
NPI number | 1265844815 |
---|---|
LBN Legal business name | Burke, Ryan |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2014 |
Last updated | Jul 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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