Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Jon Burris, MS, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871175307

Jason Jon Burris, MS, LISAC is an Addiction (Substance Use Disorder) Counselor in Kingman, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3505 Western Ave
Kingman, AZ 86409-3071
Phone: (928) 757-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LISAC-6894T (AZ)

Record details

NPI number1871175307
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LISAC
Sole proprietorYes
NPI enumeratedApril 23, 2021
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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