Individual
PATRICIA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 789-8039
Mailing address
1204 HARMON PL APT 12, MINNEAPOLIS, MN 55403-1921
(651) 468-1382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306227
MN
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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