Healthcare Provider Details

I. General information

NPI: 1760314736
Provider Name (Legal Business Name): HELEN FRANCES HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 NEOTOMAS AVE
SANTA ROSA CA
95405-7537
US

IV. Provider business mailing address

1450 NEOTOMAS AVE
SANTA ROSA CA
95405-7537
US

V. Phone/Fax

Practice location:
  • Phone: 707-565-6745
  • Fax: 707-565-4853
Mailing address:
  • Phone: 707-565-6745
  • Fax: 707-565-4853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6308
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: