Individual
MR. CHESTER EUGENE HARRISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1947 N CALIFORNIA ST STE B&C, STOCKTON, CA 95204-6029
(209) 463-0870
Mailing address
1644 SYCAMORE AVE, STOCKTON, CA 95205-3430
(209) 405-3564
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2016
Last updated
03/17/2018
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