Individual provider · Type 1 NPI
Elaine Formica Burnham, LPC
Professional Counselor · South Windsor, CT
NPI number
1881871606
Active
Practice location
378 Long Hill Rd
South Windsor, CT 06074-4217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000698 (CT) |
Professional Counselor: Definition to come...
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About NPI 1881871606
Elaine Formica Burnham, LPC's National Provider Identifier is 1881871606, issued on Jan 23, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Windsor, CT. The record was last updated on Jan 23, 2008.