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General NPI Number Information
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NPI Number | 1275677445
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Entity Type | Individual
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Provider Name | KATHRYN GRUNFELDER BURCKBUCHLER M.A. IN COUNSELING
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 600 SANDTREE DR STE 205
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33403-1538
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Country | US
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Telephone | 561-352-7022
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Fax |
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Provider Business Mailing Address
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Address Line | 10716 159TH CT N
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City | JUPITER
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State | FL
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Zip | 33478-6866
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Country | US
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Telephone | 561-352-7022
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH8359
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1076-125
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License Number State | WI
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