Brian Gonzalez-Burke in Winterville - Addiction (substance Use Disorder)

Brian Gonzalez-Burke - NPI 1316025711

Brian Gonzalez-Burke is a Addiction (substance Use Disorder) in Winterville, North Carolina. Brian Gonzalez-Burke practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Brian Gonzalez-Burke is 1316025711. The last update date is 2007-07-09.

Brian Gonzalez-Burke's current location address is 2385 Brock Ave, Winterville, North Carolina. You can contact this provider via phone number 2523411649 and fax number 2523531119. The mailing address for Brian Gonzalez-Burke is 2385 Brock Ave, Winterville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Gonzalez-Burke
Address 2385 Brock Ave, Winterville, North Carolina
Phone Number 2523411649
Fax Number 2523531119
Sole Proprietor Y
Credentials LPC, LCAS,

NPI Number Detail

NPI Number 1316025711
Provider Enumeration Date 2006-11-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2385 Brock Ave
City Winterville
State North Carolina (NC)
Post Code 285909310
Phone Number 2523411649
Fax Number 2523531119

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 1040
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
142HR NC LPC
6103146 NC --

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FAQs about Brian Gonzalez-Burke

What is the unique provider identifier assigned to Brian Gonzalez-Burke?

The Brian Gonzalez-Burke has been issued the NPI (National Provider Identifier) 1316025711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Brian Gonzalez-Burke's physical address?

The Brian Gonzalez-Burke is physically located at 2385 Brock Ave, in the city of Winterville, NC, with the postal code 285909310.

What is Brian Gonzalez-Burke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Gonzalez-Burke is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did the Brian Gonzalez-Burke receive its 1316025711?

The Brian Gonzalez-Burke was issued its 1316025711 on 2006-11-02, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Brian Gonzalez-Burke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brian Gonzalez-Burke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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