Individual
MR. JASON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADC I
Contact information
Practice address
702 W MAIN ST, MADISON, WI 53715-1424
(608) 371-7702
Mailing address
6420 OFFSHORE DR, MADISON, WI 53705-4375
(608) 371-7702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14134
WI
Other
Enumeration date
02/14/2007
Last updated
09/07/2016
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