MRS. Elaine Formica Burnham, LPC
NPI #1881871606 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1881871606
- Entity Type
- Individual
- Name
- MRS. Elaine Formica Burnham, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 23, 2008
- Last Updated
- Jan 23, 2008
Practice Location
- Address
- 378 LONG HILL RD
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-4217
- Phone
- (860) 528-7005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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