Individual
DWAYNE K HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
1155 CHEROKEE ST, DENVER, CO 80204-3632
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6900
CO
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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