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NPI Code Detail

MEDICARE: MR. ADAM WILLIAM BURK MA

MEDICARE: MR. ADAM WILLIAM BURK MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC.0017481CO

General Provider Information

NPI Number : 1417407156
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM WILLIAM BURK MA
Provider Business Mailing Address
First Line : 3165 GRAY ST
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80214-8127
Country : US
Telephone Number : 303-918-1542
Fax Number :
Provider Business Practice Location Address
First Line : 2111 CHAMPA ST
Second Line :
City : DENVER
State : CO
Zip : 80205-2529
Country : US
Telephone Number : 303-293-2217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2016
Last Update Date : 02/04/2026

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