Individual provider · Type 1 NPI

Andrea Denise Harris, SUDRC#16655 10/27/23

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1801652300 Active

Practice location

1601 2nd St
San Rafael, CA 94901-2712

Call (415) 459-2395 Map

Mailing address

10 Milland Dr Apt C6
Mill Valley, CA 94941-4944

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16655 (CA)

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

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About NPI 1801652300

Andrea Denise Harris, SUDRC#16655 10/27/23's National Provider Identifier is 1801652300, issued on Feb 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Feb 22, 2024.