Individual
JORDAN BURNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDC
Contact information
Practice address
4965 S 3500 W, ROY, UT 84067-9417
(801) 330-3440
Mailing address
845 W 200 N, KAYSVILLE, UT 84037-2406
(801) 330-3440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7187189-6005
UT
Other
Enumeration date
12/07/2018
Last updated
02/06/2024
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