Individual
MARK C HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CADC I, MAC
Contact information
Practice address
4104 SKYVIEW CREST RD NW, ALBUQUERQUE, NM 87114-5534
(541) 337-7857
Mailing address
PO BOX 67826, ALBUQUERQUE, NM 87193-7826
(541) 337-7857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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