| Doctor Name: | GRETCHEN BURKHOLDER |
| NPI Number: | 1679811376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.H.C., M.A. |
| License Number: | LH60328347 |
| Business Practice Address: | 18017 Vashon Hwy Sw Vashon, WA - 980705205 |
| Business Phone Number: | 2069407754 |
| Business Fax Number: | |
| Mailing Address: | 17709 Beall Rd Sw, VASHON |
| State: | WA |
| Postal Code: | 980705323 |
| Phone Number: | 2069407754 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2013 |
| NPI Last Update Date: | 01/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60328347 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |