Individual provider · Type 1 NPI
Gloria Harris, LISAC, LAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1053685313
Active
Practice location
2227 W Park St
Phoenix, AZ 85041-5477
Fax (480) 393-7598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-15138 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1053685313
Gloria Harris, LISAC, LAC's National Provider Identifier is 1053685313, issued on Mar 5, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on May 8, 2026.