NPI 1003114760

Dwayne K Harris, CACIII

Practitioner Addiction (Substance Use Disorder) Counselor Denver, CO

Practice location

Address: 1155 Cherokee St, Denver, CO 80204-3632
Phone: (303) 436-6000
Mailing address: 777 Bannock St Mc 7782, Denver, CO 80204-4507

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 6900 (CO)

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Registry record

NPI: 1003114760
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2011
Record last updated: 4 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.