Burke, Jennifer

Burke, Jennifer is an individual health care provider with primary practice located at 1105 Gregg Hwy , Aiken SC 29801-6341. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Burke, Jennifer can be contacted via phone (803) 649-1900.

Contact Information

Primary practice address
1105 Gregg Hwy Aiken SC 29801-6341
Phone: (803) 649-1900
Fax: (803) 643-2926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4613 South Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4613 South Carolina

Profile Details

NPI number 1154619880
LBN Legal business name Burke, Jennifer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2011
Last updated Jan 23rd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154619880 NPPES
South Carolina Other 570569761 TAX ID
South Carolina MEDICAID AD01AK TAX ID

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