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Individual

ANITA-ELAINE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4890 32ND AVE SE BLDG A, SALEM, OR 97317-9350
(808) 308-3456
Mailing address
160 CRAVEN ST N, MONMOUTH, OR 97361-1805
(808) 308-3456

Taxonomy

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

Other

Enumeration date
10/28/2019
Last updated
10/28/2019
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