Individual
FREDERICK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5930 SEMINOLE CENTRE CT STE C, FITCHBURG, WI 53711-5165
(608) 630-8889
(608) 200-7268
Mailing address
5930 SEMINOLE CENTRE CT STE C, FITCHBURG, WI 53711-5165
(608) 630-8889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6374-125
WI
101YP2500X
Professional Counselor
—
WI
Other
Enumeration date
06/14/2017
Last updated
07/31/2023
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