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Individual
MS. ZASHATA LYNNE BURTON
Active
Individual
MS. ZASHATA LYNNE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC LICENSED ALCOHO
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300116
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043337
P1
MN
01
—
106221
UC
MN
01
—
289G6BU
BCBS
MN
01
—
51738
HP
MN
01
—
84-61062
UBH
MN
Enumeration date
07/31/2006
Last updated
03/04/2024
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