Individual
JOSEPH BENTON BURRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
13390 AVENUE 26, CHOWCHILLA, CA 93610-9321
(559) 232-1864
Mailing address
13390 AVENUE 26, CHOWCHILLA, CA 93610-9321
(559) 232-1864
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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