Individual
VIRGINIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 493-5113
(360) 493-5088
Mailing address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 493-5113
(360) 493-5088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002974
WA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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