Healthcare Provider Details

I. General information

NPI: 1154499614
Provider Name (Legal Business Name): KATHERINE MARIE BURRELSMAN MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 E MICHELTORENA ST
SANTA BARBARA CA
93101-1905
US

IV. Provider business mailing address

611 ARDMORE DR
GOLETA CA
93117-1762
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-6786
  • Fax:
Mailing address:
  • Phone: 805-683-6341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC41573
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: