Individual
MR. FRANK DARRYL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
5517 N KENMORE AVE, CHICAGO, IL 60640-1515
(773) 275-7962
(773) 275-0728
Mailing address
411 N KENNETH CT, GLENWOOD, IL 60425-1205
(708) 275-5886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21137
IL
104100000X
Social Worker
Primary
150.010429
IL
Other
Enumeration date
08/06/2013
Last updated
07/28/2015
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