MEDICARE: BRITTANY HARRIS MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	125447	CA

General Provider Information

NPI Number	:	1740799972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY HARRIS MA

Provider Business Mailing Address
First Line	:	3233 E BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5817
Country	:	US
Telephone Number	:	657-206-6539
Fax Number	:

Provider Business Practice Location Address
First Line	:	3233 E BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-5817
Country	:	US
Telephone Number	:	657-206-6539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	08/13/2024

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