Individual
DEBORAH M HARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.D.C.
Contact information
Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4396
(817) 569-4517
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4396
(817) 569-4517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8718BH
BCBS
TX
Enumeration date
03/19/2008
Last updated
04/28/2010
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