Individual
LEESA JO BURRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7905 S CHADBOURNE DR UNIT B, COTTONWOOD HEIGHTS, UT 84121-5808
(405) 600-4406
Mailing address
7905 S CHADBOURNE DR UNIT B, COTTONWOOD HEIGHTS, UT 84121-5808
(405) 600-4406
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11522450-3902
UT
Other
Enumeration date
11/24/2019
Last updated
01/12/2022
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