Individual
PATRICK DONELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
Mailing address
4340 VASSAR ST, PORT ARTHUR, TX 77642-2329
(409) 300-7987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11023
TX
Other
Enumeration date
08/23/2019
Last updated
03/31/2022
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