Individual
NICHOLAS BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6948 W DUSTY ROSE CIR, HERRIMAN, UT 84096-4710
(440) 731-2287
Mailing address
6948 W DUSTY ROSE CIR, HERRIMAN, UT 84096-4710
(440) 731-2287
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6233939-3902
UT
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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