Individual
KATHERINE BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
642 HILLIARD ST STE 1302, MANCHESTER, CT 06042-2705
(860) 748-5441
(860) 812-2442
Mailing address
642 HILLIARD ST STE 1302, MANCHESTER, CT 06042-2705
(860) 748-5441
(860) 812-2442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008041648
—
CT
Enumeration date
08/01/2012
Last updated
09/11/2018
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