Provider Demographics
NPI:1124341482
Name:BURRIS, ARTHUR HARRY (LCPC)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:HARRY
Last Name:BURRIS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 GRIER NURSERY RD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1523
Mailing Address - Country:US
Mailing Address - Phone:410-420-0304
Mailing Address - Fax:410-420-0342
Practice Address - Street 1:3105 EMMORTON RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2582
Practice Address - Country:US
Practice Address - Phone:410-569-5900
Practice Address - Fax:410-569-7751
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0372101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health