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Individual

PATRICK JEROME HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3140
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3140

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
570542729
SC
Enumeration date
06/10/2021
Last updated
04/26/2026
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