Individual provider · Type 1 NPI

Charles Mickel Harris

Addiction (Substance Use Disorder) Counselor · Rock Island, IL

NPI number 1780190165 Active

Practice location

2701 17th St
Rock Island, IL 61201-5351

Call (309) 779-2285 Map

Mailing address

3470 N Willow Ct Apt 3
Bettendorf, IA 52722-2872

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780190165

Charles Mickel Harris's National Provider Identifier is 1780190165, issued on Dec 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rock Island, IL. The record was last updated on Dec 20, 2017.