Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN BURKE, R1339090219
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · PALM SPRINGS, CA
Registration Details
- NPI Number
- 1386287530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2019 (6.5189852779538 yrs)
- Last Updated
- Oct 21, 2019
- License
-
R1339090219 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1330 N INDIAN CANYON DRPALM SPRINGS, CA, 922624880Browse CA providers · Browse ZIP 92262
- Phone
- 7603229065
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PALM SPRINGS, CA
| Name | Credential | NPI |
|---|---|---|
| MS. DIANE LAVELY | LCSW BCD MSWAC | 1619079746 |
| MISS JODIE JONES | A.A. | 1790808798 |
| MR. MATTHEW ALAN EASTERBROOK SR. | BA | 1104949437 |
| MRS. BRENDA DARNELL LIAS | CAADE | 1700095668 |
| ANTHONY WARING | — | 1922217090 |
| THOMAS ERIK VON KAENEL | CADC, RASI | 1922299049 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.