JORDAN BURNINGHAM

ROY, UT
NPI1841761483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  7187189-6005)
Enumeration Date2018-12-07
Last Update Date2024-02-06
Business Address
JORDAN BURNINGHAM SUDC
4965 S 3500 W
ROY, UT 84067-9417
Phone number: 801-330-3440
Mailing Address
JORDAN BURNINGHAM SUDC
845 W 200 N
KAYSVILLE, UT 84037-2406
Phone number: 801-330-3440
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