Nichole Burns
Mental Health Counselor Clinical Social Worker
21 Montauk Avene
New London
, Connecticut 06320-4906
Nichole Burns
Mental Health Counselor Clinical Social Worker
21 Montauk Avene
New London
, Connecticut 06320-4906
(860) 271-4797
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About
Features
Specialties
- Mental Health Counselor
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Nichole Burns
- 21 Montauk Avene P.o. Box 390
- New London, CT
- Zip : 06320-6344
- Fax : (860) 271-4797
- Phone : (860) 271-4715
Second Address
- Nichole Burns
- 21 Montauk Avene
- New London, CT
- Zip : 06320-4906
- Fax : (860) 271-4797
- Phone : (860) 271-4715
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | ||
| Y | 1041C0700X | Clinical Social Worker |
National Provider Identifier
| NPI | 1003230624 |
|---|---|
| Provider Name | Nichole Burns |
| First Address | New London, CT 06320-6344 |
| Second Address | New London, CT 06320-4906 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2014 |
| Last Update Date | 08/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008059339 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.