Individual
LILLIAN ANNETTE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
530 WACO AVE, PORT ARTHUR, TX 77640-5933
(409) 201-3074
Mailing address
530 WACO AVE, PORT ARTHUR, TX 77640-5933
(409) 201-3074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11190
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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