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General NPI Number Information
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NPI Number | 1780543736
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Entity Type | Individual
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Provider Name | JOANNA KELLEY HARRIS MA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1661 N SWAN RD STE 154
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City | TUCSON
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State | AZ
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Zip | 85712-4052
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Country | US
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Telephone | 520-627-0495
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64914
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City | TUCSON
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State | AZ
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Zip | 85728-4914
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Country | US
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Telephone | 520-627-0495
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 155410
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License Number State | AZ
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