Individual
MR. COLLINS WATTS HARRIS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5812 SEATTLE SLEW DR, DEL VALLE, TX 78617-3495
(816) 419-5756
Mailing address
5812 SEATTLE SLEW DR, DEL VALLE, TX 78617-3495
(816) 419-5756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
10/08/2020
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