Individual
BRENDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
5234 W STATE ROUTE 63, LEBANON, OH 45036-8202
(513) 933-9304
Mailing address
5234 W STATE ROUTE 63, LEBANON, OH 45036-8202
(513) 933-9304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101163
OH
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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