Lookup NPI Numbers from the NPI Registry
NPI Profile for JASON J BURRIS in KINGMAN, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1871175307 |
|
| Status | Active | |
| Credentials | MS, LISAC | |
| Entity | Individual | |
| Enumeration date | 04/23/2021 | |
| Last updated | 07/02/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JASON J BURRIS, MS, LISAC