Individual
TISA LASHAY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W MEADOWVIEW RD STE 120, GREENSBORO, NC 27407-3711
(336) 675-7154
Mailing address
PO BOX 264, RICHFIELD, NC 28137-0264
(336) 675-7154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27896
NC
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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