Search › Idaho › 1041C0700X
Jon Burnham, LCSW
NPI 1396868691 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2691 S 2000 W
Rexburg, ID 83440 - Phone
- (208) 701-9616
- Organisation at this address
- Serene Horizons Health, Pc
Adept Physical Therapy, Llc
North Fork Counseling Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho