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Individual

MR. TIMOTHY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCH TECH

Contact information

Practice address
6110 GARFIELD AVE, SACRAMENTO, CA 95841-2009
(916) 642-7800
Mailing address
6110 GARFIELD AVE, SACRAMENTO, CA 95841-2009
(916) 642-7800

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT36437
CA

Other

Enumeration date
07/28/2021
Last updated
07/28/2021
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