Provider Demographics
NPI:1881798999
Name:BURKART, CHRISTINA (MA LCADC LPC)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:
Last Name:BURKART
Suffix:
Gender:F
Credentials:MA LCADC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 VAN HOUTEN AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:973-454-3752
Mailing Address - Fax:
Practice Address - Street 1:729 VAN HOUTEN AVE
Practice Address - Street 2:STE 2
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:973-454-3752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00000700101Y00000X
NJ37LC00088200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)