Individual
DR. KALEB BURNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, PHD
Contact information
Practice address
1611 COUNTY ROAD B W STE 204, ROSEVILLE, MN 55113-4053
(801) 995-8313
Mailing address
15093 S HALTER WAY, BLUFFDALE, UT 84065-1885
(801) 995-8313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001960-01
NY
106H00000X
Marriage & Family Therapist
Primary
3959
MN
Other
Enumeration date
01/18/2022
Last updated
10/01/2024
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