Provider Demographics
NPI:1124769591
Name:BURKE, CHRISTOPHER A (LHMC, CAP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:BURKE
Suffix:
Gender:M
Credentials:LHMC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 SE CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-6115
Mailing Address - Country:US
Mailing Address - Phone:561-386-0009
Mailing Address - Fax:
Practice Address - Street 1:351 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5993
Practice Address - Country:US
Practice Address - Phone:561-386-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health