Individual
CHERYL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S 55TH ST # 202, PHILADELPHIA, PA 19143-3142
(215) 205-6886
Mailing address
845 S 55TH ST, PHILADELPHIA, PA 19143-3142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51
—
PA
Enumeration date
01/26/2019
Last updated
01/26/2019
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