Individual
MISS JANAE RUTH BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1600 HIGHWAY 55, HASTINGS, MN 55033-2368
(952) 997-3020
(952) 997-3026
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304634
MN
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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