Individual
REBA LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO60389581
Contact information
Practice address
7550 LITTLE BOSTON ROAD N.E, KINGSTON, WA 98346
(360) 297-6326
Mailing address
31912 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9700
(360) 297-6326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60389581
WA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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