Individual
CRYSTAL L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LSW,LICDC
Contact information
Practice address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
Mailing address
11906 SUMMERLAND AVE, CLEVELAND, OH 44111-5059
(216) 450-9526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.1701473
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
130671
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
1701473
OH
104100000X
Social Worker
S.1701473
OH
Other
Enumeration date
10/27/2017
Last updated
11/30/2022
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