Individual
MRS. COURTNEY CELESTE BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
750 N FREEDOM BLVD STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
282 W GOOSENEST DR, ELK RIDGE, UT 84651-4585
(586) 255-2992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801078965
MI
Other
Enumeration date
03/06/2007
Last updated
11/22/2021
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