Individual
KATHLEEN M BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 E OLIN AVE, MADISON, WI 53713-1487
(608) 262-1111
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17705
WI
101YM0800X
Mental Health Counselor
130284
WI
1041C0700X
Clinical Social Worker
Primary
8925
WI
Other
Enumeration date
10/24/2016
Last updated
01/24/2025
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