Individual
BENJAMIN COLE HARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 WHEATON WAY, BREMERTON, WA 98310-3371
(360) 792-2020
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/08/2018
Last updated
02/11/2021
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