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Individual

ASHLEY CHRISTINE BURKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
2711 S 8500 W, MAGNA, UT 84044
(801) 990-4300
(801) 967-2127
Mailing address
PO BOX 330, MAGNA, UT 84044-0330
(801) 990-4300
(801) 967-2127

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8739574-6004
UT
101YP2500X
Professional Counselor
0011485
CO

Other

Enumeration date
10/20/2010
Last updated
06/28/2024
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