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Organization

HIAWATHA HARRIS, CORPORATION

Active
Find providers by NPI
Organization

HIAWATHA HARRIS, CORPORATION

Active
Other names
Pathways to Wellness, Medication Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NEISHA BECTON (CEO)
(925) 520-0005
Entity
Organization

Contact information

Practice address
509 W 10TH ST, ANTIOCH, CA 94509-1653
(925) 706-1510
(925) 892-9822
Mailing address
5674 STONERIDGE DR STE 207, PLEASANTON, CA 94588-8592
(925) 520-0005
(925) 520-0010

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
103TP0016X
Prescribing (Medical) Psychologist
Primary

Other

Enumeration date
10/25/2011
Last updated
10/25/2011
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