Provider Demographics
NPI:1962601476
Name:BURIK, JOHN FRANCIS II (MED, LPCC-S)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:BURIK
Suffix:II
Gender:M
Credentials:MED, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 JOAN PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3304
Mailing Address - Country:US
Mailing Address - Phone:513-271-4715
Mailing Address - Fax:
Practice Address - Street 1:4308 JOAN PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3304
Practice Address - Country:US
Practice Address - Phone:513-271-4715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3890 SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health