Individual
AMY BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318-1586
(952) 426-3856
(952) 426-3856
Mailing address
111 HUNDERTMARK RD STE 205N, CHASKA, MN 55318-1586
(952) 903-1350
(952) 426-3856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.010249
IL
Other
Enumeration date
03/16/2015
Last updated
01/07/2021
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