Individual
JEREMY JAMES BOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8303 SIERRA COLLEGE BLVD, ROSEVILLE, CA 95661-9485
(916) 746-7228
Mailing address
9020 VISTA DEL RIO AVE, FAIR OAKS, CA 95628-6627
(916) 704-1287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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