Jon Burnham LCSW

NPI 1396868691 - Social Worker - 1041C0700X

NPI Details
NPI 1396868691
Gender Male
Enumeration Date 04/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
REXBURG ID, 83440-3510, US
Phone (208) 359-9683
Fax (208) 359-9683
Business Location
39 S 7TH W
SUGAR CITY ID, 83448-5007, US
Phone (208) 656-9392
Taxonomy Code 1041C0700X
License State Idaho
License Number LCSW-27607
Remove 1396868691 NPI Number

According to our database, Mr. Jon Burnham LCSW NPI is 1396868691, taxonomy code is 1041C0700X and license number is LCSW-27607, license state is located at Idaho. Jon Burnham LCSW physically located at 218 Dividend Dr Ste 3, Rexburg ID, 83440-3510. NPI Number Jon Burnham LCSW has the Individual type.

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1396868691 NPI number is provided on an as is basis without warranty of any kind. 1396868691 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Burnham LCSW are for informational purposes only.