Individual
CALLA J BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 565-4792
Mailing address
3322 CHANATE RD, SANTA ROSA, CA 95404-1708
(707) 565-4792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
07/02/2014
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