Individual
TIFFANY A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS-A
Contact information
Practice address
650 HIGHLAND AVE STE 100, WINSTON SALEM, NC 27101-4304
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27711
—
Other
Enumeration date
06/15/2021
Last updated
11/01/2021
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