Herbert Harris SR.

NPI 1366859795 - Counselor - 101YM0800X

NPI Details
NPI 1366859795
Gender Male
Enumeration Date 07/17/2014
Last Updated 07/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
17563 KENTUCKY ST
DETROIT MI, 48221-2408, US
Phone (313) 927-2779
Fax (313) 826-0565
Business Location
17563 KENTUCKY ST
DETROIT MI, 48221-2408, US
Phone (313) 733-4859
Fax (313) 826-0565
Toxanomy
Taxonomy Code 101YM0800X
License State Michigan
License Number 6802064962
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According to our database, Herbert Harris SR. NPI is 1366859795, taxonomy code is 101YM0800X and license number is 6802064962, license state is located at Michigan. Herbert Harris SR. physically located at 17563 Kentucky St, Detroit MI, 48221-2408. NPI Number Herbert Harris SR. has the Individual type.

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1366859795 NPI number is provided on an as is basis without warranty of any kind. 1366859795 is maintained by the National Plan & Provider Enumeration System. The contents of Herbert Harris SR. are for informational purposes only.