Individual
MRS. BETTY LORRAINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N BROADWAY ST, FRESNO, CA 93701-1513
(559) 486-3146
(559) 486-3146
Mailing address
2784 E MAGILL AVE, FRESNO, CA 93710-4817
(559) 323-0279
(559) 486-3146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAS #1175
CA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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