Individual
GREG BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1739 S HIGHWAY 89A, KANAB, UT 84741-3957
(801) 380-4386
Mailing address
1739 S HIGHWAY 89A, KANAB, UT 84741-3957
(801) 380-4386
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4910479-3902
UT
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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