JASON JON BURRIS MS LASAC NPI 1871175307

NPI Information

NPI: 1871175307
Provider Name: JASON JON BURRIS, MS, LASAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3505 WESTERN AVE
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-8111
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Jason Jon Burris, MS, LASAC is an addiction (substance use disorder) counselor in Kingman, AZ. Jason Jon Burris, MS, LASAC NPI is 1871175307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3505 WESTERN AVE
KINGMAN, AZ
ZIP 86409-071
Phone: (928) 757-8111

The enumeration date for this NPI number is 4/23/2021 and was last updated on 4/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LASAC-6894T	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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