MR. Jon Burnham, LCSW

NPI #1396868691 in Rexburg, Idaho

Provider Information

NPI Number
1396868691
Entity Type
Individual
Name
MR. Jon Burnham, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 9, 2007
Last Updated
Jun 2, 2023

Practice Location

Address
2691 S 2000 W
State
Idaho
ZIP Code
83440-4049
Phone
(208) 701-9616

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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