Provider Demographics
NPI:1932937992
Name:BURCHENAL, KATHERINE H (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:H
Last Name:BURCHENAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8175 BRILL RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-3937
Mailing Address - Country:US
Mailing Address - Phone:513-520-3712
Mailing Address - Fax:
Practice Address - Street 1:3914 MIAMI RD STE 301
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3750
Practice Address - Country:US
Practice Address - Phone:513-520-3712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5242688101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health