Individual
CARMEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 W MACARTHUR AVE, ODESSA, TX 79763-3341
(432) 335-9659
Mailing address
401 E ILLINOIS AVE STE 300, MIDLAND, TX 79701-4881
(432) 570-3342
(432) 570-3426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9968
LICENSED CHEMICAL DEPENDENCY COUNSELOR
TX
Enumeration date
09/06/2018
Last updated
09/06/2018
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