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Individual

ANGELA HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
1854 E PERRY ST STE 900, PORT CLINTON, OH 43452-1586
(419) 359-5110
(419) 359-5114
Mailing address
5001 E WOHLERS AVE, MARBLEHEAD, OH 43440-9707
(419) 573-9163

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
100779
OH
101YM0800X
Mental Health Counselor
I.2002334
OH
1041C0700X
Clinical Social Worker
Primary
I.2002334-SUPV
OH

Other

Enumeration date
03/23/2015
Last updated
08/21/2023
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