Burris, Charles Reidar
Burris, Charles Reidar is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-1100. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Burris, Charles Reidar can be contacted via phone (253) 968-0775.Contact Information
Primary practice address
9040 Jackson Ave
Tacoma WA 98431-1100
Phone: (253) 968-0775
Fax: (253) 968-3278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00010159 | Washington |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF00002578 | Washington |
Profile Details
| NPI number | 1962557710 |
|---|---|
| LBN Legal business name | Burris, Charles Reidar |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Apr 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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