JON BURNHAM

REXBURG, ID
NPI1396868691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-27607)
Enumeration Date2007-04-09
Last Update Date2023-06-02
Business Address
Mr. JON BURNHAM LCSW
2691 S 2000 W
REXBURG, ID 83440-4049
Phone number: 208-701-9616
Mailing Address
Mr. JON BURNHAM LCSW
108 S AUSTIN AVE
SUGAR CITY, ID 83448-5078
Phone number: 208-201-1300