Individual
MR. CHARLES REIDAR BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-0775
(253) 968-3278
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-0775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00010159
WA
106H00000X
Marriage & Family Therapist
Primary
LF00002578
WA
Other
Enumeration date
01/24/2007
Last updated
04/16/2020
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