Individual provider · NPI-1

Samuel Burton

Marriage & Family Therapist · Kaysville, UT

NPI number1295337442
StatusActive
Last updated in NPPESAug 31, 2022

Details

NPI
1295337442
Entity type
Individual (NPI-1)
Name
Samuel Burton
Sex
Male
Sole proprietor
No
Enumeration date
Nov 12, 2020
Certification date
Aug 31, 2022
Last updated
Aug 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist12395675-3904UTYes

Practice location

375 N Main St Ste 102
Kaysville, UT 84037-1272

Phone 801-989-3488

Mailing address

391 E Center St
Kaysville, UT 84037-2033

Phone 801-750-7874

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