Individual
CARLISA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2579 SAN PABLO AVE, OAKLAND, CA 94612-1159
(510) 446-7161
Mailing address
24660 AMADOR ST APT 173, HAYWARD, CA 94544-1332
(510) 589-6322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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