Shannon Harris, CDCS
Counselor, Addiction (Substance Use Disorder) in Wasilla, AK. Individual provider (NPI-1).
NPI number1124672886
StatusActive
Last updated in NPPESJul 30, 2019
Details
- NPI
- 1124672886
- Entity type
- Individual (NPI-1)
- Name
- Shannon Harris
- Credential
- CDCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2019
- Last updated
- Jul 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 4065 | AK | Yes |
Practice location
7010 E Bogard RdWasilla, AK 99654-4711
Phone 907-373-4732
Mailing address
Po Box 876741Wasilla, AK 99687-6741
Phone 907-373-4732
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All 156 Addiction (Substance Use Disorder) Counselor providers in Wasilla · All 3,076 providers in Wasilla
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