Individual
AMANDA LEE BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1826 COMMERCE DR, NORTH MANKATO, MN 56003-1800
(507) 229-0350
Mailing address
1826 COMMERCE DR, NORTH MANKATO, MN 56003-1800
(507) 290-3502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304479
MN
Other
Enumeration date
10/18/2017
Last updated
10/25/2023
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