Individual
BRIAN DANIEL HARRISON
Active
Individual
BRIAN DANIEL HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
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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