MR. Mike Vincent Burckhard, LICSW
NPI #1104814789 in Minot, North Dakota
Provider Information
- NPI Number
- 1104814789
- Entity Type
- Individual
- Name
- MR. Mike Vincent Burckhard, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LICSW
- Enumeration Date
- Oct 8, 2005
- Last Updated
- Nov 18, 2014
Practice Location
- Address
- 315 MAIN ST S
- Address 2
- SUITE 315
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-3956
- Phone
- (701) 852-5876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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