Jon Burnham, LCSW Valid NPI

Individual provider · Clinical Social Worker · Rexburg, ID

NPI

1396868691

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LCSW-27607 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-09

Last updated

2023-06-02