Michelle Burks, CADC LPC

NPI 1245500826 · on the registry since 2012 · sole proprietor

Practice

Address: 1500 E Heritage Park St Ste 150
Meridian, ID 83646
Phone: (082) 631-0843
Fax: (208) 906-0807
Organisation at this address: Snp Holdings, Llc
Evergreen Prosthetics And Orthotics, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Additional practice sites

1674 W. Hill Rd., Boise, ID

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho