Individual
REBECCA LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 SOUTHLAKE BLVD STE C, NORTH CHESTERFIELD, VA 23236-3955
(804) 420-2894
Mailing address
1600 HOLLOW LOG DR, POWHATAN, VA 23139-6950
(757) 802-8221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103778
VA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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