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Individual

MS. ZASHATA LYNNE BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC LICENSED ALCOHO

Contact information

Practice address
520 10TH STREET, RED WING, MN 55066
(651) 380-0043
(651) 800-2000
Mailing address
520 10TH STREET, RED WING, MN 55066
(651) 380-0043
(651) 800-2000

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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