Individual
MRS. CRYSTAL ANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1350
Mailing address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/10/2012
Last updated
10/31/2019
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