Burris, Jason Jon

Burris, Jason Jon is an sole proprietor health care provider with primary practice located at 3505 Western Ave , Kingman AZ 86409-3071. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Burris, Jason Jon can be contacted via phone (928) 757-8111.

Contact Information

Primary practice address
3505 Western Ave Kingman AZ 86409-3071
Phone: (928) 757-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-6894T Arizona

Profile Details

NPI number 1871175307
LBN Legal business name Burris, Jason Jon
Credentials MS, LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2021
Last updated Jul 2nd, 2024 - about last year

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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