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 9 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.

Sponsored links

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.