JASON JON BURRIS

KINGMAN, AZ
NPI1871175307
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LASAC-6894T)
Enumeration Date2021-04-23
Last Update Date2021-04-23
Business Address
JASON JON BURRIS MS, LASAC
3505 WESTERN AVE
KINGMAN, AZ 86409-3071
Phone number: 928-757-8111
Mailing Address
JASON JON BURRIS MS, LASAC
3505 WESTERN AVE
KINGMAN, AZ 86409-3071
Phone number: 928-787-8111
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