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Individual

MS. ALBERTA HARRIS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 BAYVIEW AVE STE 2, JERSEY CITY, NJ 07305-4204
(347) 485-2160
Mailing address
22 BAYVIEW AVE STE 2FLOOR, JERSEY CITY, NJ 07305-4204
(347) 485-2160

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
886476741
CA
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84-4408160
NJ
Enumeration date
11/11/2020
Last updated
11/11/2020
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