Individual
ROXANN BURTNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1805
ND
Other
Enumeration date
02/27/2017
Last updated
02/17/2020
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