Individual
DELTON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4541
(919) 621-4921
Mailing address
220 HULL ST APT I, RICHMOND, VA 23224-4286
(919) 621-4921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
0904012504
VA
1041C0700X
Clinical Social Worker
C011952
NC
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
03/06/2023
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