Individual
MRS. SANDI K. BURNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.S.A.C.
Contact information
Practice address
561 E TABERNACLE ST, ST GEORGE, UT 84770-2944
(435) 673-2822
(435) 673-0943
Mailing address
561 E TABERNACLE ST, ST GEORGE, UT 84770-2944
(435) 673-2822
(435) 673-0943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
350065-6006
UT
101YP2500X
Professional Counselor
Primary
350065-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11654728
CAQH CREDENTIALING #
UT
Enumeration date
04/18/2007
Last updated
03/07/2019
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