Individual
SAMANTHA CHRISTINE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 W 400 SILVER GLEN RD., ST. CHARLES, IL 60175
(331) 901-4225
Mailing address
3259 187TH ST, LANSING, IL 60438-3565
(773) 766-1385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37727
IL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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