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Individual

MR. HOSEA BIRCH EDWARD HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
(702) 850-2691
Mailing address
6363 S PECOS RD STE 206, LAS VEGAS, NV 89120-6293
(702) 850-2691

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
Primary
NV

Other

Enumeration date
02/04/2022
Last updated
08/17/2022
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