Individual
ADAM HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(925) 217-0485
Mailing address
PO BOX 5533, WALNUT CREEK, CA 94596-1533
(925) 217-0485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2011
Last updated
07/28/2022
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