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
Fax: (253) 968-3278
Website:

Health care specialties

SpecialtyCodeLicense #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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