Provider Demographics
NPI:1366683302
Name:BURKE, KAREN R (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:BURKE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 SPRING VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-3033
Mailing Address - Country:US
Mailing Address - Phone:512-947-9880
Mailing Address - Fax:
Practice Address - Street 1:6626 SILVERMINE DR
Practice Address - Street 2:#600
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-3632
Practice Address - Country:US
Practice Address - Phone:512-947-9880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-22
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX615464101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health