Individual provider · Type 1 NPI

Jason Jon Burris, MS, LISAC

Addiction (Substance Use Disorder) Counselor · Kingman, AZ

NPI number 1871175307 Active

Practice location

3505 Western Ave
Kingman, AZ 86409-3071

Mailing address

552 Ramar Rd
Bullhead City, AZ 86442-6215

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-6894T (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871175307

Jason Jon Burris, MS, LISAC's National Provider Identifier is 1871175307, issued on Apr 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kingman, AZ. The record was last updated on Jul 2, 2024.