Individual
ANGELA RENEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
202 W 3RD ST STE 1, OWENSBORO, KY 42303-4123
(270) 693-3888
Mailing address
3750 RALPH AVE APT 518, OWENSBORO, KY 42303-2219
(270) 316-0900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175412
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175412
TCADC
KY
Enumeration date
02/07/2018
Last updated
02/07/2018
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