person
Mrs. Elaine Formica Burnham, LPC
Professional Counselor in South Windsor, Connecticut
NPI 1881871606

Elaine Formica Burnham is a Professional Counselor based in South Windsor, CT and is specialized in Professional. Elaine Formica Burnham practices in South Windsor, CT and has the professional credentials of LPC. The NPI Number for Elaine Formica Burnham is 1881871606 and holds a License No. 000698 (Connecticut).

The current practice location address for Elaine Formica Burnham is 378 Long Hill Rd, South Windsor, CT and can be reached out via phone at 860-528-7005.

Location: 378 Long Hill Rd, South Windsor, CT, 06074-4217
person
Provider Profile Details
NPI Number
1881871606
Provider Name
Elaine Formica Burnham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
378 Long Hill Rd, South Windsor, CT, 06074-4217
Phone Number
860-528-7005
Fax Number
Provider Enumeration Date
01/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00698 01 CT LPC
institution
Provider Business Practice Location Address Details
Address
378 Long Hill Rd
City
State
Zip
06074-4217
Phone Number
860-528-7005
Fax Number
person
Provider Business Mailing Address Details
Address
378 Long Hill Rd
City
State
Zip
06074-4217
Phone Number
860-528-7005
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
000698 (Connecticut)
Definition
Definition to come...
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