Individual
DAVE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP, BA, NCAC II
Contact information
Practice address
719 E MAIN STE C, PUYALLUP, WA 98372-3306
(253) 740-4067
Mailing address
600 S 317TH ST, FEDERAL WAY, WA 98003-5218
(253) 841-8165
(253) 841-8168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002706
WA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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