Individual
MISS ANDREA DENISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC#16655 10/27/23
Contact information
Practice address
1601 2ND ST, SAN RAFAEL, CA 94901-2712
(415) 459-2395
Mailing address
10 MILLAND DR APT C6, MILL VALLEY, CA 94941-4944
(415) 305-3800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16655
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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