Individual
MR. DANIEL ALLEN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4665 MILE HIGH DR, PROVO, UT 84604-6311
(408) 431-4443
Mailing address
PO BOX 902, PROVO, UT 84603-0902
(408) 431-4443
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
105383
CA
106H00000X
Marriage & Family Therapist
Primary
11952129-3902
UT
Other
Enumeration date
08/16/2016
Last updated
10/10/2020
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