Individual
MS. JEANINE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
425 CONEY ISLAND AVE, BROOKLYN, NY 11218-2605
(718) 306-5138
(718) 306-5165
Mailing address
425 CONEY ISLAND AVE, BROOKLYN, NY 11218-2605
(718) 306-5138
(718) 306-5165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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