Individual
GREGORY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9030 ROUTE 108, SUITE A, COLUMBIA, MD 21045-1990
(410) 740-1901
Mailing address
9030 ROUTE 108, SUITE A, COLUMBIA, MD 21045-1990
(410) 740-1901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6471
MD
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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