Charles Reidar Burris in Tacoma - Marriage & Family Therapist
Charles Reidar Burris - NPI 1962557710
Charles Reidar Burris is a Marriage & Family Therapist in Tacoma, Washington. Charles Reidar Burris practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Charles Reidar Burris is 1962557710. The last update date is 2020-04-16.
Charles Reidar Burris's current location address is 9040 Jackson Ave, Tacoma, Washington. You can contact this provider via phone number 2539680775. The mailing address for Charles Reidar Burris is 9040 Jackson Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Reidar Burris |
|---|---|
| Address | 9040 Jackson Ave, Tacoma, Washington |
| Phone Number | 2539680775 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1962557710 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-04-16 |
Provider Mailing Address Detail
| Address | 9040 Jackson Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984311100 |
| Phone Number | 2539680775 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LF00002578 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the Charles Reidar Burris's 1962557710?
The Charles Reidar Burris's NPI (National Provider Identifier) Number is 1962557710. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Reidar Burris?
The Charles Reidar Burris is situated at 9040 Jackson Ave, in the city of Tacoma, state of WA, with the zip code 984311100.
What is Charles Reidar Burris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Reidar Burris's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962557710 to Charles Reidar Burris?
The Centers for Medicare & Medicaid Services originally issued the 1962557710 to Charles Reidar Burris on 2007-01-24.
When was the Charles Reidar Burris's information last updated?
The Charles Reidar Burris's information was last updated on 2020-04-16.