Individual
BRIANA HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CAADC
Contact information
Practice address
1357 S VAN DYKE RD, BAD AXE, MI 48413-8461
(417) 849-8501
Mailing address
1357 S VAN DYKE RD, BAD AXE, MI 48413
(417) 849-8501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015541
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/08/2016
Last updated
04/13/2022
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