Individual
BRIAN DANIEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
5380 HOLIDAY TER, KALAMAZOO, MI 49009-2154
(269) 409-3000
Mailing address
5380 HOLIDAY TER STE 28, KALAMAZOO, MI 49009-2128
(269) 409-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34673
IL
104100000X
Social Worker
150.103338
IL
1041C0700X
Clinical Social Worker
Primary
6851106843
MI
Other
Enumeration date
01/31/2019
Last updated
11/23/2021
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