SearchIdaho1041C0700X

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, Llc
Inferred 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