Individual
WADE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
853 MEDICAL CENTER DR NE, SALEM, OR 97301-2752
(971) 388-2835
Mailing address
PO BOX 8088, SALEM, OR 97303-0240
(971) 388-2835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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