Individual
MR. BRIAN VINCENT BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1124 S 5TH ST, SPRINGFIELD, IL 62703-2314
(217) 744-3525
Mailing address
1124 S 5TH ST, SPRINGFIELD, IL 62703-2314
(217) 744-3525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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