person
Jason Jon Burris, MS,LASAC
Addiction (Substance Use Disorder) Counselor in Kingman, Arizona
NPI 1871175307

Jason Jon Burris is an Addiction (Substance Use Disorder) Counselor based in Kingman, AZ and is specialized in Addiction (Substance Use Disorder). Jason Jon Burris practices in Kingman, AZ and has the professional credentials of MS,LASAC. The NPI Number for Jason Jon Burris is 1871175307 and holds a License No. LASAC-6894T (Arizona).

The current practice location address for Jason Jon Burris is 3505 Western Ave, Kingman, AZ and can be reached out via phone at 928-757-8111.

Location: 3505 Western Ave, Kingman, AZ, 86409-3071
person
Provider Profile Details
NPI Number
1871175307
Provider Name
Jason Jon Burris
Credential
MS,LASAC
Provider Entity Type
Individual
Gender
Male
Address
3505 Western Ave, Kingman, AZ, 86409-3071
Phone Number
928-757-8111
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3505 Western Ave
City
State
Zip
86409-3071
Phone Number
928-757-8111
Fax Number
person
Provider Business Mailing Address Details
Address
3505 Western Ave
City
State
Zip
86409-3071
Phone Number
928-757-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LASAC-6894T (Arizona)
Definition
Definition to come...
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